Ly, Robert

Ly, Robert is an sole proprietor health care provider with primary practice located at 15628 Brookhurst St , Westminster CA 92683-7573. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Ly, Robert can be contacted via phone (714) 839-6300.

Contact Information

Primary practice address
15628 Brookhurst St Westminster CA 92683-7573
Phone: (714) 839-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X DDS110071 California

Profile Details

NPI number 1265176432
LBN Legal business name Ly, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2022
Last updated Jul 16th, 2024 - about last year

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.

Request for update

Popular Providers