Ly, Amanda

Ly, Amanda is an individual health care provider with primary practice located at 3975 Old Redwood Hwy Ste 152 , Santa Rosa CA 95403-1719. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Ly, Amanda can be contacted via phone (707) 566-5555.

Contact Information

Primary practice address
3975 Old Redwood Hwy Ste 152 Santa Rosa CA 95403-1719
Phone: (707) 566-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A190157 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1417410374
LBN Legal business name Ly, Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2019
Last updated Oct 8th, 2024 - about 2 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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