Lally, James M

Lally, James M is an individual health care provider with primary practice located at 13193 Central Ave Ste. 100, Chino CA 91710-4179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lally, James M can be contacted via phone (909) 464-9675.

Contact Information

Primary practice address
13193 Central Ave Ste. 100 Chino CA 91710-4179
Phone: (909) 464-9675
Fax: (909) 590-3898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A6259 California

Profile Details

NPI number 1285633867
LBN Legal business name Lally, James M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Sep 15th, 2017 - about 9 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 1285633867 NPPES
California MEDICAID 1285633867

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