# LUONG T. LY MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821392507
- **Authorized official:** LUONG T LY MD (PRESIDENT)
- **Authorized official phone:** (626) 890-7973

## Contact information

- **Practice address:** 525 N GARFIELD AVE, MONTEREY PARK, CA 91754-1202
- **Practice address phone:** (626) 573-2222
- **Practice address fax:** (626) 307-2186
- **Mailing address:** PO BOX 788, HEMET, CA 92546-0788
- **Mailing address phone:** (951) 929-6260
- **Mailing address fax:** (951) 765-2855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | A86007 | CA | Yes |

## Other

- **Enumeration date:** 01/10/2011
- **Last updated:** 02/19/2014