Michelle W Ly, DO | |
17772 Beach Blvd, Huntington Beach, CA 92647-6819 | |
(714) 843-5011 | |
Not Available |
Full Name | Michelle W Ly |
---|---|
Gender | Female |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 17772 Beach Blvd, Huntington Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811161870 | NPI | - | NPPES |
20A10691 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20A10691 (California) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 0036120302 (Illinois) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Columbia Emergency Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871551119 PECOS PAC ID: 2668376500 Enrollment ID: O20031121000897 |
Entity Name | Beach Emergency Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013074996 PECOS PAC ID: 8123120078 Enrollment ID: O20070222000661 |
Entity Name | Pacific Coast Emergency Medical Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316179492 PECOS PAC ID: 5092861054 Enrollment ID: O20090917000115 |
Entity Name | Hollywood Presbyterian Emergency Medical Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972826931 PECOS PAC ID: 7618006263 Enrollment ID: O20100520000454 |
Entity Name | Orange County Emergency Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508114711 PECOS PAC ID: 8123279056 Enrollment ID: O20121127000164 |
Mailing Address | Practice Location Address |
---|---|
Michelle W Ly, DO Po Box 660565, Arcadia, CA 91066-0565 Ph: (626) 447-0296 | Michelle W Ly, DO 17772 Beach Blvd, Huntington Beach, CA 92647-6819 Ph: (714) 843-5011 |
Kelly Flannigan Unger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17772 Beach Blvd, Huntington Beach, CA 92647 Phone: 714-843-5011 | |
Mr. Stanley Wayne Combs, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 16761 Edgewater Lane, Huntington Beach, CA 92649 Phone: 714-846-9400 | |
Charles B Obrien, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 21391 Pinetree Ln, Huntington Beach, CA 92646 Phone: 714-335-9024 | |
Dr. Patrick D Cichon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8252 Lambert Dr, Huntington Beach, CA 92647 Phone: 323-363-3442 | |
Vince Truong, D.O. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 7834 Glencoe Ave, Huntington Beach, CA 92647 Phone: 586-212-3164 Fax: 310-379-4856 | |
Jessica Rendin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17772 Beach Blvd, Huntington Beach, CA 92647 Phone: 714-843-5011 | |
Khanh Tran, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17772 Beach Blvd, Huntington Beach, CA 92647 Phone: 714-842-1473 |