Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Ly, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609653492

Brandon Ly, DO is a Student in an Organized Health Care Education/Training Program in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone: (951) 788-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4521 (CA)

Record details

NPI number1609653492
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedSeptember 13, 2023
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026
Mailing address4445 Magnolia Ave, Riverside, CA 92501-4199

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