Individual
JIMMY LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 SAN PABLO ST STE 3600, LOS ANGELES, CA 90033-5332
(323) 865-1084
Mailing address
1450 SAN PABLO ST STE 3600, LOS ANGELES, CA 90033-5332
(323) 442-7400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
69898
AZ
207L00000X
Anesthesiology Physician
Primary
A179013
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
02/05/2026
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