Elyse Lyou, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

107863 Issued in CA

Practice address

17777 Crenshaw Blvd
Ste 200
Torrance, CA 90504

Phone

(310) 323-9253

NPI assigned

Aug 23, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amardeep Gill and Reymond Bautista Dental Corporation

  • General Practice Dentistry
  • El Cerrito, CA
  • NPI 1609393206
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1134848328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 CRENSHAW BLVD",
            "address_2": "STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 CRENSHAW BLVD",
            "address_2": "STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90504",
            "telephone_number": "310-323-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYOU",
        "first_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lynch, PHARM.D
• Deborah K Lynn, M.D.
• Lynne Alba Speech Therapy Solutions, P.C.
• Lynne Alba Speech Therapy, P. C.
• Erin Therese Lyons, N.P.
• Marshall Young Lyou, MARSHALL LYOU, D.D.S
• M Hospital Inc
• M Papadopoulos a Dental Corp.
• M Park Dental Inc
• M&C Rehab Inc

• Dentist in Torrance, CA
• Providers in Torrance, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.