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

Phat Ly

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609594886

Phat Ly is a Student in an Organized Health Care Education/Training Program in Long Beach, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1500 Hughes Way # 100
Long Beach, CA 90810-1870
Phone: (213) 252-5800
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 156393 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609594886
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

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