Individual
DR. NGOC PHUONG LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
400 PARNASSUS AVE, 2ND FLOOR, SAN FRANCISCO, CA 94143-2202
(415) 353-2559
(415) 353-2466
Mailing address
521 PARNASSUS AVE, C-344, SAN FRANCISCO, CA 94143-2206
(415) 476-4979
(415) 476-9278
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
A100697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079976
—
MA
01
—
469767
TUFS HEALTH PLAN
MA
01
—
J27996
BCBS MA
MA
Enumeration date
07/11/2006
Last updated
09/06/2013
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