Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LY KONG PHENG JALAO
Active Sole ProprietorLY KONG PHENG JALAO is a Primary Care Nurse Practitioner healthcare provider located in SACRAMENTO, California. NPI 1952884124 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · SACRAMENTO, CA
Registration Details
- NPI Number
- 1952884124
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2018 (7.9645644830081 yrs)
- Last Updated
- Sep 12, 2018
- License
-
NP95009751 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2200 DEL PASO BLVDSACRAMENTO, CA, 958153102Browse CA providers · Browse ZIP 95815
- Phone
- 9166421890
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in SACRAMENTO, CA
| Name | Credential | NPI |
|---|---|---|
| CHRISTI DIANE DELEMOS | NP | 1932134111 |
| MRS. JACQUELYN SHURON PRUITT | NP | 1902979966 |
| MARIA E STONER | N.P. | 1407924913 |
| MS. CHRISTINE C HANSEN | MSN, FNP | 1093980393 |
| KRISTIN ELIZABETH MATTHEWS | FNP | 1336372226 |
| VERONICA DIANNA RAMIREZ | N.P. | 1801199260 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.