Sopheap Ly MD

NPI 1780732578 - Internal Medicine - 207R00000X

NPI Details
NPI 1780732578
Gender Female
Enumeration Date 01/08/2007
Last Updated 11/30/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10800 MAGNOLIA AVE
RIVERSIDE CA, 92505-3043, US
Phone (909) 353-2000
Fax
Business Location
393 E WALNUT ST
3RD FLOOR PHR SYSTEMS
PASADENA CA, 91188-0001, US
Phone (000) 000-0000
Fax (000) 000-0000
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A82297
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According to our database, Sopheap Ly MD NPI is 1780732578, taxonomy code is 207R00000X and license number is A82297, license state is located at California. Sopheap Ly MD physically located at 10800 Magnolia Ave, Riverside CA, 92505-3043. NPI Number Sopheap Ly MD has the Individual type.

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1780732578 NPI number is provided on an as is basis without warranty of any kind. 1780732578 is maintained by the National Plan & Provider Enumeration System. The contents of Sopheap Ly MD are for informational purposes only.