ANN LY MD NPI 1851850812

NPI Information

NPI: 1851850812
Provider Name: ANN LY, MD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
4445 MAGNOLIA AVE
GME OFFICE
RIVERSIDE, CA
ZIP 92501
Phone: (951) 788-3000
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Ann Ly, MD is a student in an organized health care education training program in Riverside, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ann Ly, MD NPI is 1851850812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4445 MAGNOLIA AVE
GME OFFICE
RIVERSIDE, CA
ZIP 92501-199
Phone: (951) 788-3000

The enumeration date for this NPI number is 3/18/2019 and was last updated on 3/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F2022934	OTHER	CALIFORNIA	CALIFORNIA DRIVER'S LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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