Ly, Eddie

Ly, Eddie is an individual health care provider with primary practice located at 17360 Brookhurst St , Fountain Valley CA 92708-3720. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ly, Eddie can be contacted via phone (714) 665-1797.

Contact Information

Primary practice address
17360 Brookhurst St Fountain Valley CA 92708-3720
Phone: (714) 665-1797
Fax: (714) 665-4680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A159769 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A159769 California

Profile Details

NPI number 1134650922
LBN Legal business name Ly, Eddie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2017
Last updated Jun 1st, 2020 - about 6 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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