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Individual

KIEU-MAGGIE LY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASE MANAGER

Contact information

Practice address
1310 WILSHIRE BLVD, LOS ANGELES, CA 90017-1705
(213) 483-3000
Mailing address
1635 W MAIN ST STE 100, ALHAMBRA, CA 91801-1951

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
225400000X
Rehabilitation Practitioner
373H00000X
Day Training/Habilitation Specialist
Primary
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/01/2020
Last updated
05/05/2025
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