Ly, Jason

Ly, Jason is an individual health care provider with primary practice located at 4281 Katella Ave Ste 220 , Los Alamitos CA 90720-6506. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ly, Jason can be contacted via phone (562) 252-1135.

Contact Information

Primary practice address
4281 Katella Ave Ste 220 Los Alamitos CA 90720-6506
Phone: (562) 252-1135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95018656 California

Profile Details

NPI number 1699438762
LBN Legal business name Ly, Jason
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2021
Last updated Jul 7th, 2022 - about 2 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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