Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104008523 Individual Practitioner Male Practitioner

Dr. Michael Ly , DMD

Dentist - General Practice • Pasadena, CA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Ly, DMD is a registered healthcare professional specializing in Dentist - General Practice in Pasadena, CA. Practice services are available at 255 N ROSEMEAD BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

255 N Rosemead Blvd

Pasadena, CA 911073102

Telephone 6267318520
Associated Practice Facility / Clinic
🏢 Rahimi Dental Corporation Facility NPI 1275629206

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pasadena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
110 Specialists

Practicing in Pasadena, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 56446

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1467805523

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 05, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2008

Registered at 255 N ROSEMEAD BLVD, PASADENA, CA 911073102 (Tel: 6267318520)

📍
Updated Business Mailing Address August 05, 2008

Registered at 455 N LOS ROBLES AVE, PASADENA, CA 911011301 (Tel: 6267318520)

👤
Provider Name / Credentials Updated August 05, 2008

Recorded as MICHAEL LY, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2008

Dentist (License #56446 in CA)

🟢
Initial NPI Registration & Enumeration November 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104008523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2007
Last Update: August 05, 2008
Sole Proprietor: Yes

Mailing Address

455 N Los Robles Ave

Pasadena, CA 911011301

Phone: 6267318520

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.