| Dr Cong T Ly, | |
| 6640 Alton Parkway, Emergency Dept, Irvine, CA 92618 | |
| (714) 644-4000 | |
| Not Available | 
| Full Name | Dr Cong T Ly | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 6640 Alton Parkway, Irvine, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649456682 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A10687 (California) | Primary | 
| Entity Name | Southern California Permanente Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 | 
| Entity Name | Beach Emergency Medical Associates | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013074996 PECOS PAC ID: 8123120078 Enrollment ID: O20070222000661 | 
| Entity Name | Pacific Coast Emergency Medical Associates, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316179492 PECOS PAC ID: 5092861054 Enrollment ID: O20090917000115 | 
| Entity Name | Hollywood Presbyterian Emergency Medical Associates, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972826931 PECOS PAC ID: 7618006263 Enrollment ID: O20100520000454 | 
| Entity Name | Orange County Emergency Medical Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508114711 PECOS PAC ID: 8123279056 Enrollment ID: O20121127000164 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Cong T Ly, 6640 Alton Pkwy, Irvine, CA 92618-3734 Ph: (714) 644-4000 | Dr Cong T Ly, 6640 Alton Parkway, Emergency Dept, Irvine, CA 92618 Ph: (714) 644-4000 | 
| Vinh Tonthat,  Emergency Medicine Medicare: Medicare Enrolled Practice Location: 16200 Sand Canyon Ave, Irvine, CA 92618 Phone: 949-517-3010 | |
| Caroline M. Han, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 16100 Sand Canyon Ave, Suite 150, Irvine, CA 92618 Phone: 949-417-0272 | |
| Christopher E Salem, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18021 Sky Park Cir Ste G, Irvine, CA 92614 Phone: 949-260-0744 Fax: 949-260-0744 | |
| Thomas K Ryu, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16200 Sand Canyon Ave, Irvine, CA 92618 Phone: 949-753-2000 | |
| Dr. Amanda Darlene Moy, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 32 Gardenpath, Irvine, CA 92603 Phone: 949-679-1906 | |
| Dr. Ryan Christopher Hurd, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6640 Alton Pkwy, Irvine, CA 92618 Phone: 949-932-2800 | |
| Dr. Amir Yazdanshenas, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 113 Waterworks Way Ste 350, Irvine, CA 92618 Phone: 949-528-3864 |