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Contact Information

VI LY, DNP, CRNA
4445 MAGNOLIA AVENUE
RIVERSIDE, CA92501
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for VI LY · (Male)

NPI # 1346810793
Status Active
Credentials DNP, CRNA
Entity Individual
Enumeration date 06/28/2021
Last updated 03/31/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 95002110
  • MD License # R242988
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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