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

Queenie Ly

Individual provider Physician Assistant · NPI 1295608982

Queenie Ly is a Physician Assistant in Vallejo, California. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

1310 Club Dr
Vallejo, CA 94592-1187
Phone: (707) 638-5809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1295608982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 27, 2025
Mailing address1310 Club Dr, Vallejo, CA 94592-1187

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