Keith K Ly is a Adolescent Medicine in Pasadena, California. Keith K Ly practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Keith K Ly is 1801909056. The last update date is 2022-06-06.
Keith K Ly's current location address is 2993 Millicent Wy, Pasadena, California. You can contact this provider via phone number 7147576651. The mailing address for Keith K Ly is 2993 Millicent Wy, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith K Ly |
|---|---|
| Address | 2993 Millicent Wy, Pasadena, California |
| Phone Number | 7147576651 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1801909056 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2022-06-06 |
Provider Mailing Address Detail
| Address | 2993 Millicent Wy |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 91107 |
| Phone Number | 7147576651 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | P0068 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1124254 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Keith K Ly?
The Keith K Ly has been issued the NPI (National Provider Identifier) 1801909056 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Keith K Ly located?
The Keith K Ly is located at 2993 Millicent Wy, Pasadena, CA 91107.
What is Keith K Ly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Keith K Ly is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0000X.
On what date did Keith K Ly receive its 1801909056 assignment from the Centers for Medicare & Medicaid Services?
The Keith K Ly was assigned its 1801909056 on 2006-08-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Keith K Ly, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Keith K Ly, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-06-06.
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