Ly, Peter Phong

Ly, Peter Phong is an sole proprietor health care provider with primary practice located at 8016 2Nd St , Downey CA 90241-3622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Ly, Peter Phong can be contacted via phone (562) 862-7744.

Contact Information

Primary practice address
8016 2Nd St Downey CA 90241-3622
Phone: (562) 862-7744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A65780 California
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X A65780 California

Profile Details

NPI number 1588684724
LBN Legal business name Ly, Peter Phong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Mar 14th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588684724 NPPES
California MEDICAID 00A657800

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