Michael LY, D.M.D

General Practice Dentistry · Pasadena, CA

Individual Active NPI

NPI number 1104008523

Practice location

255 N Rosemead Blvd
Pasadena, CA 91107-3102
Phone
(626) 731-8520

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NPI record

NPI
1104008523
Entity type
Individual (Type 1)
Enumeration date
November 27, 2007
Last updated
August 5, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 56446 CA

Mailing address

455 N Los Robles Ave
Pasadena, CA 91101-1301
Phone
(626) 731-8520

About Dr. LY

Michael LY, D.M.D is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 255 N Rosemead Blvd, Pasadena, CA 91107-3102. The NPI number 1104008523 was assigned on November 27, 2007 and the record was last updated on August 5, 2008.

Dr. LY lists a license in the registry: #56446 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael LY, D.M.D?

The NPI number is 1104008523.

What is the phone number of Dr. LY?

The phone number listed for the practice location is (626) 731-8520.

Where is Dr. LY located?

255 N Rosemead Blvd, Pasadena, CA 91107-3102.

What is the taxonomy code for Dr. LY?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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