Individual
DR. MICHAEL MINH BA LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
22450 TOWN CIR, MORENO VALLEY, CA 92553-7506
(951) 653-1055
Mailing address
4868 GOLDEN RIDGE DR, CORONA, CA 92880-9421
(951) 898-3585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
11700T
CA
152WP0200X
Pediatric Optometrist
Primary
11700T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA1700
EYEMED
CA
Enumeration date
09/17/2006
Last updated
09/11/2025
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