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Bao Ly

Student in an Organized Health Care Education/Training Program in Salinas, CA. Individual provider (NPI-1).

NPI number1760169239
StatusActive
Last updated in NPPESJun 28, 2023

Details

NPI
1760169239
Entity type
Individual (NPI-1)
Name
Bao Ly
Sex
Male
Sole proprietor
No
Enumeration date
Jun 28, 2023
Certification date
Jun 28, 2023
Last updated
Jun 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1441 Constitution Blvd
Salinas, CA 93906-3100

Phone 831-755-4123

Mailing address

1441 Constitution Blvd
Salinas, CA 93906-3100

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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