Ly Ho Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LY HO DENTAL CORPORATION

Practice address

420 S State College Blvd
Anaheim, CA 92806-4119

Phone

(714) 772-0770

NPI assigned

Sep 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ly Ho, DDS

Title

President

Phone

(310) 407-9909

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Man Minh Le, PHARMD.

  • Pharmacist
  • Foothill Ranch, CA
  • NPI 1548691058
  NPD (past)

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1639698277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9651 HILLVIEW RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S STATE COLLEGE BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064119",
            "telephone_number": "714-772-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LY HO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "LY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-407-9909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1275814402",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD LICENSE",
            "identifier": "60984",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marvin Luu
• Luxottica of America Inc
• Luxottica of America Inc.
• Luz Lontoc Physical Therapy, Inc
• LVL Up Physical Therapy & Performance, a Professional Corporation
• Becky L Ly, CRNA
• Dennis Tam Minh Ly, NP
• Jason Ly, FNP
• Judy Ngo Ly
• Khanh Ly, M.ED., PPSC

• Dental Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.