Individual provider · Type 1 NPI

Vivian Ly

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

NPI number 1538047972 Active

Practice location

2575 Yorba Linda Blvd
Fullerton, CA 92831-1615

Call (714) 449-7400 Map

Mailing address

6523 Lost Fort Pl
Eastvale, CA 92880-3301

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 1538047972

Vivian Ly's National Provider Identifier is 1538047972, issued on Aug 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fullerton, CA. The record was last updated on Aug 25, 2025.