Cuong Ly Md, INC

NPI #1164694014 in Lake Forest, California

Provider Information

NPI Number
1164694014
Entity Type
Organization
Organization Name
Cuong Ly Md, INC
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Apr 1, 2008
Last Updated
Apr 1, 2008

Practice Location

Address
23321 EL TORO RD
Address 2
SUITE H
ZIP Code
92630-4825
Phone
(949) 305-2660

Authorized Official

Name
CUONG PHU LY II, MD
Title
CHIEF EXECUTIVE OFFICER
Phone
(714) 425-9403

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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