Individual
LUONG T LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 S RAYMOND AVE # 610, PASADENA, CA 91105-2046
(626) 890-7973
(626) 890-7973
Mailing address
PO BOX 788, HEMET, CA 92546-0788
(951) 929-6260
(951) 765-2855
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A86007
CA
Other
Enumeration date
06/12/2006
Last updated
03/04/2014
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