Duong, Ly Thanh

Duong, Ly Thanh is an sole proprietor health care provider with primary practice located at 3660 Park Sierra Dr , Riverside CA 92505-3081. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Duong, Ly Thanh can be contacted via phone (951) 637-2100.

Contact Information

Primary practice address
3660 Park Sierra Dr Riverside CA 92505-3081
Phone: (951) 637-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 95007415 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95007415 California

Profile Details

NPI number 1497261614
LBN Legal business name Duong, Ly Thanh
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2017
Last updated Dec 26th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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