Hau Phuc Ly, DO | |
8170 Laguna Blvd Ste 220, Elk Grove, CA 95758-7902 | |
(916) 691-5900 | |
Not Available |
Full Name | Hau Phuc Ly |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 8170 Laguna Blvd Ste 220, Elk Grove, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134758469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A19555 (California) | Primary |
Entity Name | Sutter Valley Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
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Hau Phuc Ly, DO Po Box 255228, Sacramento, CA 95865-5228 Ph: () - | Hau Phuc Ly, DO 8170 Laguna Blvd Ste 220, Elk Grove, CA 95758-7902 Ph: (916) 691-5900 |
Thomas A Bzoskie, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8170 Laguna Blvd Ste 113, Elk Grove, CA 95758 Phone: 916-478-6561 Fax: 916-478-6573 | |
Dr. Jeanne Marie Taylor, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5100 | |
Katie C Askew, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd, Suite 114, Elk Grove, CA 95758 Phone: 916-691-5900 Fax: 916-691-6736 | |
Scott C Cannon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd, Suite 114, Elk Grove, CA 95758 Phone: 916-691-5900 | |
Jose V. Sumaquial, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5000 | |
Kristin G Leach, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5000 | |
Seema Prakash Shah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd Ste 101, Elk Grove, CA 95758 Phone: 916-478-6565 |