Individual provider · Type 1 NPI

Amanda Van Ly, DO

Surgery Physician · Roseville, CA

NPI number 1417443334 Active

Practice location

584 N Sunrise Ave Ste 100
Roseville, CA 95661-2862

Call (916) 250-2596 Map

Fax (916) 550-5025

Mailing address

1625 Creekside Dr Ste 202
Folsom, CA 95630-3819

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X5101024118 (MI)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1417443334

Amanda Van Ly, DO's National Provider Identifier is 1417443334, issued on Jul 3, 2018. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Roseville, CA. The record was last updated on Jul 21, 2023.