Individual
KELVIN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-8320
Mailing address
2817 MONTEZUMA AVE, ALHAMBRA, CA 91803-4243
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
28943
CA
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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