Search › California › 363A00000X
Kim Ly, PA-C
NPI 1043017569 · on the registry since 2025 · sole proprietor
Practice
- Address
- 18111 Brookhurst St Ste 3100
Fountain Valley, CA 92708 - Phone
- (714) 378-7390
- Organisation at this address
- Leport
Ancova Inc.
Civitas Med
Mindful Glow
Andy Le Md IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 73
Additional practice sites
- 12522 Shelley Dr Apt 6, Garden Grove, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Sex
- Female
- Record last updated
- 2025-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California