Individual
ANN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
212876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F2022934
CALIFORNIA DRIVER'S LICENSE
CA
Enumeration date
03/18/2019
Last updated
06/05/2025
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