Cuong P Ly (NPI# 1306883053, PAC ID# 9739100421) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1306883053 |
| PAC ID by PECOS | 9739100421 |
| Professional Enrollment ID | I20051208001001 |
| Full Name | Cuong P Ly |
| Organization Legal Name | KEVIN PHAM MD INC |
| Address |
500 S Main St Suite 101 Orange CA 92868-4535 |
| Phone Number | 7148364204 |
| Gender | M |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3375523277 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050603 | SADDLEBACK MEMORIAL MEDICAL CENTER |
| 050069 | ST JOSEPH HOSPITAL |
| 050567 | MISSION HOSPITAL REGIONAL MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24221 Calle De La Louisa, Suite 200, Laguna Hills, CA 92653-3642 | 9495888700 | SADDLEBACK MEDICAL GROUP INC |
| 24221 Calle De La Louisa, Suite 400, Laguna Hills, CA 92653-7632 | 9495888700 | SADDLEBACK MEDICAL GROUP INC |
| 500 S Main St, Suite 101, Orange, CA 92868-4535 | 7148364204 | KEVIN PHAM MD INC |
| Organization Legal Name | KEVIN PHAM MD INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Son Thanh Dinh | Nephrology | Kevin Pham Md Inc | 500 S Main St, Suite 101, Orange, CA 92868-4535 |
| Essam Ali Amin Mostafa | Nephrology | Kevin Pham Md Inc | 500 S Main St, Suite 101, Orange, CA 92868-4535 |
| Kevin Pham | Nephrology | Kevin Pham Md Inc | 500 S Main St, Suite 101, Orange, CA 92868-4535 |
| Philip S Yang | Nephrology | Kevin Pham Md Inc | 500 S Main St, Suite 101, Orange, CA 92868-4535 |
| Street Address |
500 S MAIN ST SUITE 101 |
| City | ORANGE |
| State | CA |
| Zip | 92868-4535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Son Thanh Dinh | Nephrology | Kevin Pham Md Inc | 500 S Main St, Suite 101, Orange, CA 92868-4535 |
| Essam Ali Amin Mostafa | Nephrology | Kevin Pham Md Inc | 500 S Main St, Suite 101, Orange, CA 92868-4535 |
| Ezra Charles Schlotthauer | Chiropractic | 500 S Main St, Pine Island, MN 55963-8604 | |
| Kevin Pham | Nephrology | Kevin Pham Md Inc | 500 S Main St, Suite 101, Orange, CA 92868-4535 |
| Shawn M Kromrey | Chiropractic | Kromrey Chiropractic Sc | 500 S Main St, Cadott, WI 54727-9401 |
| Douglas L Willemin | Chiropractic | 500 S Main St, Suite 2, Sheridan, MI 48884-9775 | |
| Philip S Yang | Nephrology | Kevin Pham Md Inc | 500 S Main St, Suite 101, Orange, CA 92868-4535 |
| Edson H Jenkins | Chiropractic | 500 S Main St, Bellefontaine, OH 43311-1724 | |
| Kristin Marie Wahl | Chiropractic | Kromrey Chiropractic Sc | 500 S Main St, Cadott, WI 54727-9401 |
| Kristine R Prescher-meints | Chiropractic | Meints Chiropractic Health Center Pa | 500 S Main St, Pine Island, MN 55963-8604 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kauser V Sharieff | Optometry | 20 The Citydrive W, Suite 919, Orange, CA 92868 | |
| Feraidoun Khonsari | Urology | 1140 W La Veta, Suite 605, Orange, CA 92868 | |
| Eriny Ibrahim | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Allan Kwok | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Celeste T Vergara | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Robert Bax | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Alison Grace Ramos | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| April A Lopez | Chiropractic | 2029 W Orangewood Ave, Suite A, Orange, CA 92868-1951 | |
| Barry L Marks | Chiropractic | 1745 W Orangewood Ave, Suite 114, Orange, CA 92868-2041 | |
| Bernard Wasserman | Clinical Social Worker | 1745 W Orangewood, Suite 101, Orange, CA 92868-2041 | |
| Find all physicians in zip 92868 | |||
| City | ORANGE |
| Zip Code | 92868 |
| Specialty | NEPHROLOGY |
| City + Specialty | ORANGE + NEPHROLOGY |
Please comment or provide details below to improve the information on Cuong P Ly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.