Individual provider Active NPI

Lily Hoanglan DO, DO

  • Internal Medicine Physician
  • Bellflower, CA
National Provider Identifier
1841433653
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A10665 Issued in CA
Practice address
17660 Lakewood Blvd
Bellflower, CA 90706-6410
Phone
(562) 461-1179
NPI assigned
Apr 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A10665 CA Primary

Addresses

Primary practice location

17660 Lakewood Blvd
Bellflower, CA 90706-6410

Mailing address

17660 Lakewood Blvd
Bellflower, CA 90706-6410
Phone (562) 461-1179

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180309002124 CA Practitioner - Internal Medicine 5698096865 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Choice Aco IncGroup PAC ID 7719379395, 60 clinicians

Practice addresses (Care Compare)

11180 Warner Ave
Suite 465
Fountain Valley, CA 92708-7505
Phone (714) 760-4903

7631 Wyoming St
Suite 201
Westminster, CA 92683-3904
Phone (714) 898-0765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10665CAMDInternal Medicine Physician
10665CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ame Medical Group Inc CurrentSince Apr 19, 2025 Accepting new patients
Family Choice Aco Inc Internal Medicine CurrentSince May 26, 2024 Accepting new patients
St. Joseph - St. Theresa Medical, Inc. Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients

Locations

11942 Paramount Blvd
#B
Downey, CA 90242
Phone (562) 923-6060

11938 Paramount Blvd
Downey, CA 90242
Phone (562) 923-6060

8500 Florence Ave
Ste 101
Downey, CA 90240
Phone (562) 202-5020

11180 Warner Ave
Ste 465
Fountain Vly, CA 92708
Phone (714) 241-9200

3300 E South St
Ste 101
Lakewood, CA 90805

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1841433653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17660 LAKEWOOD BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066410",
            "telephone_number": "562-461-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17660 LAKEWOOD BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066410",
            "telephone_number": "562-461-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "LILY",
        "middle_name": "HOANGLAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.