Individual provider · Type 1 NPI

Kim Ly, PA-C

Physician Assistant · Fountain Valley, CA

NPI number 1043017569 Active

Practice location

18111 Brookhurst St Ste 3100
Fountain Valley, CA 92708-6728

Call (714) 378-7390 Map

Mailing address

12522 Shelley Dr Apt 6
Garden Grove, CA 92840-4940

Other practice locations

  • 12522 Shelley Dr Apt 6, Garden Grove, CA 92840-4940 · (714) 837-0386

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043017569

Kim Ly, PA-C's National Provider Identifier is 1043017569, issued on Mar 3, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fountain Valley, CA. The record was last updated on Jun 1, 2025.