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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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