Individual
MR. AN V LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608
(916) 537-5000
(916) 851-2884
Mailing address
5530 BIRDCAGE ST, STE 145, CITRUS HEIGHTS, CA 95610
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A85727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A857270
—
CA
Enumeration date
05/31/2006
Last updated
08/09/2016
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