SearchCalifornia363A00000X

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 Inc
Inferred 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