Individual ProviderSimon H LiPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7946 Ivanhoe Ave Ste 110, La Jolla, CA 92037-4516(858) 551-8882PECOS EnrollmentBased on the most recent information from CMS, provider Simon H Li does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1689332397Provider TypeIndividualFull NameLi, Simon HCredentialDPTGenderMaleSole ProprietorNoEnumeration Date11/30/2021Last Updated12/26/2025Contact InformationPractice LocationPractice Address7946 Ivanhoe Ave Ste 110, La Jolla, CA 92037-4516Phone(858) 551-8882FaxUnlisted FaxMailing LocationMailing Address2815 Montezuma Ave, Alhambra, CA 91803-4243PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense300487California