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Melinda Ly, CPNP
Pediatric Nurse Practitioner in San Diego, California
NPI 1851694525

Melinda Ly is a Pediatric Nurse Practitioner based in San Diego, CA and is specialized in Pediatrics. Melinda Ly practices in San Diego, CA and has the professional credentials of CPNP. The NPI Number for Melinda Ly is 1851694525 and holds a License No. 19752 (California).

The current practice location address for Melinda Ly is 5717 Pacific Center Blvd Ste 200, San Diego, CA and can be reached out via phone at 858-859-1188.

Location: 5717 Pacific Center Blvd Ste 200, San Diego, CA, 92121-4250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851694525
Provider Name
Melinda Ly
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
5717 Pacific Center Blvd Ste 200, San Diego, CA, 92121-4250
Phone Number
858-859-1188
Fax Number
Provider Enumeration Date
12/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5717 Pacific Center Blvd Ste 200
City
San Diego
State
California
Zip
92121
Phone Number
858-859-1188
Fax Number
person
Provider Business Mailing Address Details
Address
5717 Pacific Center Blvd Ste 200
City
San Diego
State
California
Zip
92121
Phone Number
858-859-1188
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
19752 (California)
Definition
Definition to come...
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