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Contact Information

CONG T LY
6640 ALTON PARKWAY
EMERGENCY DEPT
IRVINE, CA92618
 Phone: 714-644-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CONG T LY · (Male)

NPI # 1649456682
Status Active
Credentials
Entity Individual
Enumeration date 01/19/2008
Last updated 12/03/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 20A10687
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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