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NPI Code Detail

MEDICARE: DENNIS TAM MINH LY NP

MEDICARE: DENNIS TAM MINH LY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95036319CA

General Provider Information

NPI Number : 1366248742
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS TAM MINH LY NP
Provider Business Mailing Address
First Line : 2011 HUMFORD AVE
Second Line :
City : HACIENDA HEIGHTS
State : CA
Zip : 91745-3428
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1720 W BALL RD STE 4C
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-5591
Country : US
Telephone Number : 714-683-1472
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2025
Last Update Date : 01/22/2026

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Directions to “ DENNIS TAM MINH LY NP” Practice Location

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