Healthcare Provider Details

I. General information

NPI: 1992613871
Provider Name (Legal Business Name): KATHY DUYNGUYEN-LY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHY LY

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4345 HOWARD AVE
LOS ALAMITOS CA
90720-5512
US

IV. Provider business mailing address

4345 HOWARD AVE
LOS ALAMITOS CA
90720-5512
US

V. Phone/Fax

Practice location:
  • Phone: 714-925-1660
  • Fax:
Mailing address:
  • Phone: 714-925-1660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: