Provider Demographics
NPI:1376435453
Name:AMERILY HEALTH, PC
Entity type:Organization
Organization Name:AMERILY HEALTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PYO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:657-799-0993
Mailing Address - Street 1:2000 E CHAPMAN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-4103
Mailing Address - Country:US
Mailing Address - Phone:657-799-0993
Mailing Address - Fax:909-515-5180
Practice Address - Street 1:2000 E CHAPMAN AVE STE 100
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-4103
Practice Address - Country:US
Practice Address - Phone:657-799-0993
Practice Address - Fax:909-515-5180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health