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

Kim Ly, PA-C

Individual provider Physician Assistant · NPI 1043017569

Kim Ly, PA-C is a Physician Assistant in Fountain Valley, California. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

18111 Brookhurst St Ste 3100
Fountain Valley, CA 92708-6728
Phone: (714) 378-7390
Show map & directions

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

Additional practice locations (1)

  • 12522 Shelley Dr Apt 6, Garden Grove, CA 92840-4940 — (714) 837-0386

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1043017569
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 3, 2025
Last updated in NPPESJune 1, 2025
Certification dateJune 1, 2025

Other providers in Fountain Valley