Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Peter Phong Ly, MD

Individual provider Interventional Pain Medicine Physician · NPI 1588684724

Dr. Peter Phong Ly, MD is an Anesthesiology in Los Alamitos, California. Graduated from New York Medical College in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Trained at
New York Medical College
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10921 Cherry St Ste 200
Los Alamitos, CA 90720-2473
Phone: (562) 407-2080
Fax: (562) 407-2082
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A65780 (CA)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence A65780 (CA)

Record details

NPI number1588684724
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 20, 2006
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing addressPo Box 4259, Cerritos, CA 90703-4259

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Also practisesPAIN MANAGEMENT
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount