Ly, Ellen

Ly, Ellen is an individual health care provider with primary practice located at 289 W Huntington Dr Ste 401 , Arcadia CA 91007-3493. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ly, Ellen can be contacted via phone (626) 254-0074.

Contact Information

Primary practice address
289 W Huntington Dr Ste 401 Arcadia CA 91007-3493
Phone: (626) 254-0074
Fax: (626) 254-0240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2020115166 California

Profile Details

NPI number 1215539820
LBN Legal business name Ly, Ellen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2020
Last updated Jan 5th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215539820 NPPES
California Other 2020115166 AMERICAN NURSES CREDENTIALING CENTER
California Other 95016212 AMERICAN NURSES CREDENTIALING CENTER

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