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

Malica Ly

Individual provider Audiologist · NPI 1083222988

Malica Ly is an Audiologist in Santa Rosa, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

4725 Hoen Ave Ste B
Santa Rosa, CA 95405-9405
Phone: (707) 542-1154
Fax: (707) 542-4818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1260 Healdsburg Ave Ste 202, Healdsburg, CA 95448-3409 — (707) 433-0705

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 13592 (CA)

Record details

NPI number1083222988
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESJuly 17, 2020
Certification dateJuly 17, 2020
Mailing address750 N Commons Dr Ste 200, Aurora, IL 60504-7940

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