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Organization
PETER LY MD MEDICAL CORPORATION
Active
Organization
PETER LY MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LY MD (PRESIDENT)
(562) 407-2080
Entity
Organization
Contact information
Practice address
10921 CHERRY ST STE 200, LOS ALAMITOS, CA 90720-2473
(562) 407-2080
(562) 407-2082
Mailing address
PO BOX 4259, CERRITOS, CA 90703-4259
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A65780
CA
208VP0014X
Interventional Pain Medicine Physician
A65780
CA
Other
Enumeration date
03/05/2008
Last updated
09/30/2024
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