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Organization
CUONG LY MD, INC
Active
Organization
CUONG LY MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CUONG PHU LY II MD (CHIEF EXECUTIVE OFFICER)
(714) 425-9403
Entity
Organization
Contact information
Practice address
23321 EL TORO RD, SUITE H, LAKE FOREST, CA 92630-4825
(949) 305-2660
(949) 305-2036
Mailing address
23321 EL TORO RD, SUITE H, LAKE FOREST, CA 92630-4825
(949) 305-2660
(949) 305-2036
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A73873
CA
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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