Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON LY, DO
Deactivated Sole ProprietorBRANDON LY, DO is a Student (Health Education/Training) healthcare provider located in RIVERSIDE, California. NPI 1609653492 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · RIVERSIDE, CA
This NPI has been deactivated.
The record was deactivated on March 21, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1609653492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2023 (1.5178082191781 yrs)
- Last Updated
- Mar 27, 2025
- Deactivated
- Mar 21, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
4445 MAGNOLIA AVERIVERSIDE, CA, 925014135Browse CA providers · Browse ZIP 92501
- Phone
- 9517883550
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PETER Y CHANG | MD | 1184667560 |
| MR. STACY S ADAMS SR. | BS IN HUMAN SERVICES | 1518097104 |
| MARY MARTIN | ADCS | 1659540441 |
| DR. JEAN BERNADETTE U ONG KIAN KOC | M.D. | 1538321732 |
| DR. DANIAL ROBERT FISHER | DO | 1740414515 |
| MISS LINDSAY WARREN | — | 1750613857 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.