IndividualActive
Jason Ly, PHARMD
NPI 1013713064 · Critical Care Pharmacist · Los Angeles, CA
Provider details
- NPI number
- 1013713064
- Entity type
- Individual
- Primary specialty
- Critical Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 75123 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1500 San Pablo St Ste B222
Los Angeles, CA 90033-5313
Phone: (323) 442-9583
Approximate (ZIP-level) locationGet directions
Mailing address
1500 San Pablo St Ste B222
Los Angeles, CA 90033-5313
Registry dates
- Enumerated
- 2025-02-20
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.