Individual
CUONG PHU LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24221 CALLE DE LA LOUISA, SUITE 300, LAGUNA HILLS, CA 92653-7638
(949) 707-1059
(949) 465-8159
Mailing address
PO BOX 35380, SUITE 400, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A73873
CA
Other
Enumeration date
06/01/2006
Last updated
11/23/2025
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