Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | FY045 | CA |
Y | 225100000X | Physical Therapist | PT015368 | CA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT15368 | CA |
NPI | 1255318259 |
---|---|
Provider Name | Mrs. Lily N Hung |
First Address | Norwalk, CA 90650-5228 |
Second Address | Norwalk, CA 90650 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2005 |
Last Update Date | 03/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10802140 | BLUE CROSS ADVANTAGE SENIOR PLAN (01) | CA |
5662490 | FIRST HEALTH (01) | CA |
694030 | UNITED HEALTH CARE (01) | CA |
FY045 | (02) | CA |
OPT153680 | BLUE SHIELD (01) | CA |