IndividualActive
Amanda Ly, MD
NPI 1417410374 · Physical Medicine & Rehabilitation Physician · Santa Rosa, CA
Provider details
- NPI number
- 1417410374
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A190157 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
3975 Old Redwood Hwy Ste 152
Santa Rosa, CA 95403-1719
Phone: (707) 566-5555
Approximate (ZIP-level) locationGet directions
Mailing address
3975 Old Redwood Hwy Ste 152
Santa Rosa, CA 95403-1719
Additional practice locations (1)
- 3975 Old Redwood Hwy Ste 152Santa Rosa, CA 95403-1719Phone: (707) 566-5555
Registry dates
- Enumerated
- 2019-04-08
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.