Ly, Michael Minh Ba

Ly, Michael Minh Ba is an sole proprietor health care provider with primary practice located at 22450 Town Cir , Moreno Valley CA 92553-7506. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Ly, Michael Minh Ba can be contacted via phone (951) 653-1055.

Contact Information

Primary practice address
22450 Town Cir Moreno Valley CA 92553-7506
Phone: (951) 653-1055
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11700T California
Eye and Vision Services Providers / Pediatrics 152WP0200X 11700T California

Profile Details

NPI number 1013014794
LBN Legal business name Ly, Michael Minh Ba
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1013014794 NPPES
California Other CA1700 EYEMED

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