Ly, Thuc N

Ly, Thuc N is an sole proprietor health care provider with primary practice located at 3433 Fionna Pl , West Covina CA 91792-5703. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ly, Thuc N can be contacted via phone (626) 675-8169.

Contact Information

Primary practice address
3433 Fionna Pl West Covina CA 91792-5703
Phone: (626) 675-8169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16370 California

Profile Details

NPI number 1407968712
LBN Legal business name Ly, Thuc N
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Apr 28th, 2011 - about 13 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 1407968712 NPPES
California Other 952662606 GRP TAX ID #

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