Ly, Michelle W

Ly, Michelle W is an individual health care provider with primary practice located at 17772 Beach Blvd , Huntington Beach CA 92647-6819. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Ly, Michelle W can be contacted via phone (714) 843-5011.

Contact Information

Primary practice address
17772 Beach Blvd Huntington Beach CA 92647-6819
Phone: (714) 843-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20A10691 California
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 0036120302 Illinois

Profile Details

NPI number 1811161870
LBN Legal business name Ly, Michelle W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2008
Last updated Nov 30th, 2021 - about 3 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 1811161870 NPPES
California Other 20A10691 MEDICAL LICENSE

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