Individual
DR. JASON LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1500 SAN PABLO ST STE B222, LOS ANGELES, CA 90033-5313
(323) 442-9583
Mailing address
1500 SAN PABLO ST STE B222, LOS ANGELES, CA 90033-5313
(323) 442-9583
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
75123
CA
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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