Trung Huu Ly, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A94616 Issued in CA

Practice address

10362 Bolsa Ave Ste 100
Westminster, CA 92683-6763

Phone

(714) 531-0230

NPI assigned

Oct 4, 2006

Sex

Male

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Bolsa Medical Group

  • Surgery Physician
  • Westminster, CA
  • NPI 1992732192

  Internal Medicine

  Medicare reassignment NPD
• Bolsa Outpatient Surgery Center a Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Westminster, CA
  • NPI 1962500454
  NPD (past)
• Center for Physical Medicine & Rehabilitation P C

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1306959218
  NPD (past)
• Med 97 LLC

  dba Advanced Urgent Care

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1487631883
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594425600000",
    "number": "1669567541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S NORDICA ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064630",
            "telephone_number": "602-206-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10362 BOLSA AVE STE 100",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836763",
            "telephone_number": "714-531-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "TRUNG",
        "middle_name": "HUU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc (Lenscrafters At Macy's 8812)
• Luxottica of America Inc. (Lenscrafters #283)
• Ly Dental Corporation (Dr. Ly Vina Dental Group)
• Ly Dental Corporation (Dr. Ly Vina Dental Group)
• Quy Van Ly, DDS
• M Health N Wellness
• Khai Minh Ma, D.D.S
• Hung T Mac
• Cathy Mach, PHARMD
• Shoaib Madar, DPT

• Internal Medicine Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; 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.