Individual provider · Type 1 NPI

Van Bich Ly

Student in an Organized Health Care Education/Training Program · San Pablo, CA

NPI number 1174419477 Active

Practice location

13585 San Pablo Ave
San Pablo, CA 94806-3863

Call (510) 942-4600 Map

Mailing address

1631 Livingston Ln
Richmond, CA 94801-3270

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174419477

Van Bich Ly's National Provider Identifier is 1174419477, issued on Jun 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Pablo, CA. The record was last updated on Jun 16, 2025.