Provider Demographics
NPI:1801093554
Name:LY, ANDREW DUY (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DUY
Last Name:LY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 HOAG DR
Mailing Address - Street 2:NEUROSCIENCES
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4162
Mailing Address - Country:US
Mailing Address - Phone:949-764-1820
Mailing Address - Fax:949-764-1428
Practice Address - Street 1:1 HOAG DR
Practice Address - Street 2:NEUROSCIENCES
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4162
Practice Address - Country:US
Practice Address - Phone:949-764-1820
Practice Address - Fax:949-764-1428
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2015-02-17
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Provider Licenses
StateLicense IDTaxonomies
CAA888722084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology