Dr Peter Phong Ly, MD | |
10921 Cherry St Ste 200, Los Alamitos, CA 90720-2473 | |
(562) 407-2080 | |
(562) 407-2082 |
Full Name | Dr Peter Phong Ly |
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Gender | Male |
Speciality | Anesthesiology |
Experience | 28 Years |
Location | 10921 Cherry St Ste 200, Los Alamitos, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588684724 | NPI | - | NPPES |
00A657800 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | A65780 (California) | Secondary |
207L00000X | Anesthesiology | A65780 (California) | Primary |
Entity Name | Surgical Anesthesia Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104923358 PECOS PAC ID: 6507871381 Enrollment ID: O20060215000548 |
Entity Name | Peter Ly Md Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508036591 PECOS PAC ID: 7113005034 Enrollment ID: O20080417000409 |
Mailing Address | Practice Location Address |
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Dr Peter Phong Ly, MD Po Box 4259, Cerritos, CA 90703-4259 Ph: (562) 407-2080 | Dr Peter Phong Ly, MD 10921 Cherry St Ste 200, Los Alamitos, CA 90720-2473 Ph: (562) 407-2080 |
Shahram Taheri, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 10921cherry Street, Suite 100, Los Alamitos, CA 90720 Phone: 562-795-5600 | |
Dr. Brett Michael Florie, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-598-1311 Fax: 562-799-3133 | |
Blessing Akpofure, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10921 Cherry St Ste 100, Los Alamitos, CA 90720 Phone: 562-795-5600 Fax: 562-795-5602 | |
Dalia Jennifer Gourgy, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 10904 Reagan St, Los Alamitos, CA 90720 Phone: 562-596-3140 Fax: 562-596-3142 | |
Yanqin Lou, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-598-1311 Fax: 562-799-3133 | |
Dr. Stanley K Chou, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 3851 Katella Ave, Suite 301, Los Alamitos, CA 90720 Phone: 562-799-3888 Fax: 562-799-3880 | |
Steve Namsinh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-598-1311 |