CUONG LY MD, INC (NPI# 1164694014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164694014 |
| Entity Type | Organization |
| Organization Name | CUONG LY MD, INC |
| Practice Address |
23321 El Toro Rd Suite H Lake Forest CA 92630-4825 |
| Practice Telephone | 9493052660 |
| Practice Fax Number | 9493052036 |
| Mailing Telephone | 9493052660 |
| Mailing Fax Number | 9493052036 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | CUONG PHU LY II (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7144259403 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A73873 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
23321 EL TORO RD SUITE H |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881643021 | Southern Orange County Pediatric Associates, Inc. | Pediatrics | 23321 El Toro Rd, Suites F&g, Lake Forest, CA 92630-4825 | 2006-05-07 |
| 1477009454 | Rex Chuang, Dds, Inc. | Dentist | 23321 El Toro Rd, Suite C, Lake Forest, CA 92630-4825 | 2016-08-30 |
| 1497009831 | Keith H Tam Dds Inc | Dentist | 23321 El Toro Rd, Suite C, Lake Forest, CA 92630 | 2012-11-07 |
| 1205103652 | Jennifer Blake Eli | Dentist | 23321 El Toro Rd, Sutie D, Lake Forest, CA 92630-4825 | 2011-11-29 |
| 1982916375 | Katherine Danielle Williamson | Pediatrics | 23321 El Toro Rd, Suite F, Lake Forest, CA 92630-4825 | 2010-07-14 |
| 1215250600 | Michael Bissiri | Dentist | 23321 El Toro Rd, Suite B, Lake Forest, CA 92630-4825 | 2010-03-12 |
| 1245416239 | Anneke Sager | Nurse Practitioner | 23321 El Toro Rd, Suites F&g, Lake Forest, CA 92630-4825 | 2008-01-21 |
| 1558547547 | Lisa Walpert | Nurse Practitioner | 23321 El Toro Rd, Suites F&g, Lake Forest, CA 92630-4825 | 2008-01-21 |
| 1568589729 | William Young Gregg | Dentist | 23321 El Toro Rd, Suite D, Lake Forest, CA 92630-4825 | 2007-03-23 |
| 1891892204 | Regina Brown | Pediatrics | 23321 El Toro Rd, Suites F&g, Lake Forest, CA 92630-4825 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598937476 | Nathaniel Ho, M.d. Inc | Internal Medicine | 23321 El Toro Rd Ste H, Lake Forest, CA 92630-4892 | 2008-03-31 |
| 1366825119 | Janis Cho | Internal Medicine | 800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045-1687 | 2015-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585328 | Empire Medical Specialist | Internal Medicine | 28625 Quaint St, Agoura Hills, CA 91301-1735 | 2020-10-15 |
| 1538774989 | Modern Telehealth | Internal Medicine | 1509 Espinosa Cir, Palos Verdes Estates, CA 90274-1917 | 2020-09-12 |
| 1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.