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

Mrs. Man Kellie Ly, FNP

Individual provider Ambulatory Care Registered Nurse · NPI 1508389701

Mrs. Man Kellie Ly, FNP is an Ambulatory Care Registered Nurse in Montebello, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

3106 W Beverly Blvd
Montebello, CA 90640-2217
Phone: (323) 728-1274
Show map & directions

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

Additional practice locations (1)

  • 1817 W Beverly Blvd, Montebello, CA 90640-3969 — (323) 721-5524

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95032279 (CA)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence 615128 (CA)

Record details

NPI number1508389701
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJuly 19, 2017
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024