Ly, Jeannie

Ly, Jeannie is an individual health care provider with primary practice located at 14687 Round Leaf Rd , Moreno Valley CA 92555-4742. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ly, Jeannie can be contacted via phone (951) 488-1929.

Contact Information

Primary practice address
14687 Round Leaf Rd Moreno Valley CA 92555-4742
Phone: (951) 488-1929
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PCCI2179 California
Behavioral Health & Social Service Providers / School 101YS0200X California

Profile Details

NPI number 1578017125
LBN Legal business name Ly, Jeannie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2016
Last updated Aug 12th, 2016 - about 8 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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