Ly, Stacie Hien

Ly, Stacie Hien is an individual health care provider with primary practice located at 2176 Salk Ave , Carlsbad CA 92008-7346. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ly, Stacie Hien can be contacted via phone (760) 827-7200.

Contact Information

Primary practice address
2176 Salk Ave Carlsbad CA 92008-7346
Phone: (760) 827-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00044604 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C154258 California

Profile Details

NPI number 1114028669
LBN Legal business name Ly, Stacie Hien
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Oct 13th, 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 1114028669 NPPES
Washington MEDICAID 8430456

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