Ly, Tam

Ly, Tam is an individual health care provider with primary practice located at 14112 S Kingsley Dr , Gardena CA 90249-3018. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Ly, Tam can be contacted via phone (310) 217-7312.

Contact Information

Primary practice address
14112 S Kingsley Dr Gardena CA 90249-3018
Phone: (310) 217-7312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X D8892587 California

Profile Details

NPI number 1497061071
LBN Legal business name Ly, Tam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2010
Last updated Aug 20th, 2010 - about 14 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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