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Matthew Ang Ly, NP

Nurse Practitioner, Neonatal, Critical Care in Palo Alto, CA. Individual provider (NPI-1).

NPI number1164037644
StatusActive
Last updated in NPPESSep 11, 2020

Details

NPI
1164037644
Entity type
Individual (NPI-1)
Name
Matthew Ang Ly
Credential
NP
Sex
Male
Sole proprietor
No
Enumeration date
Sep 11, 2020
Certification date
Aug 29, 2020
Last updated
Sep 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LN0005X Nurse Practitioner, Neonatal, Critical Care95015297CAYes

Practice location

725 Welch Rd
Palo Alto, CA 94304-1601

Phone 650-497-8800

Mailing address

5383 King Estates Ct
San Jose, CA 95135-1365

Phone 408-904-9805

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