Individual
DR. CONG T LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6640 ALTON PARKWAY, EMERGENCY DEPT, IRVINE, CA 92618
(714) 644-4000
Mailing address
6640 ALTON PKWY, IRVINE, CA 92618-3734
(714) 644-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A10687
CA
Other
Enumeration date
01/19/2008
Last updated
12/03/2021
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