Healthcare Provider Details

I. General information

NPI: 1376435453
Provider Name (Legal Business Name): AMERILY HEALTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E CHAPMAN AVE STE 100
FULLERTON CA
92831-4103
US

IV. Provider business mailing address

2000 E CHAPMAN AVE STE 100
FULLERTON CA
92831-4103
US

V. Phone/Fax

Practice location:
  • Phone: 657-799-0993
  • Fax: 909-515-5180
Mailing address:
  • Phone: 657-799-0993
  • Fax: 909-515-5180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HOWARD PYO
Title or Position: CEO
Credential: DO
Phone: 657-799-0993