Ly, Peter Van

Ly, Peter Van is an sole proprietor health care provider with primary practice located at 313 W Fairview Ave , San Gabriel CA 91776-2944. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Ly, Peter Van can be contacted via phone (314) 398-9331.

Contact Information

Primary practice address
313 W Fairview Ave San Gabriel CA 91776-2944
Phone: (314) 398-9331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 50885 California

Profile Details

NPI number 1194329532
LBN Legal business name Ly, Peter Van
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2020
Last updated Nov 25th, 2020 - 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 1194329532 NPPES
California Other 50885 22

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