Lien Kim Ly, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47520 Issued in CA

Practice address

39040 Sky Canyon Drive
Suite 107
Murrieta, CA 92563

Phone

(951) 677-6608

NPI assigned

Jan 12, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lien K. Ly, DDS, a Professional Corporation

  • Dental Clinic/Center
  • Murrieta, CA
  • NPI 1881194348
  NPD (past) Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1902956709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39040 SKY CANYON DR STE 107",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633515",
            "telephone_number": "951-677-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39040 SKY CANYON DRIVE",
            "address_2": "SUITE 107",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-677-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "LIEN",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Dabu Lusung, ASW, MSW, CADC-II
• Scott K Luttge, M.D., P.A.
• Darrin Duc Luu, M.D.
• Luxottica Retail North America Inc
• Cindy Ly
• Ngoc Van Dai Ly, MD
• Ashley Marie Lynch
• M K Awwad DDS Inc
• M. H. Peters & Associates, Inc.
• Kinnedy Macias

• General Practice Dentistry in Murrieta, CA
• Providers in Murrieta, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.