Anthony Watana Le, DPM | |
18370 Burbank Blvd Ste 107, Tarzana, CA 91356-2813 | |
(818) 345-3338 | |
(818) 345-3363 |
Full Name | Anthony Watana Le |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 25 Years |
Location | 18370 Burbank Blvd Ste 107, Tarzana, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720185291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E4333 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anthony W. Le, D.p.m., Inc. | 0042317729 | 2 |
Provider Name | Anthony W. Le, D.p.m., Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063540235 PECOS PAC ID: 0042317729 Enrollment ID: O20070514000451 |
Mailing Address | Practice Location Address |
---|---|
Anthony Watana Le, DPM 945 W 7th St, Oxnard, CA 93030-6756 Ph: (805) 483-7799 | Anthony Watana Le, DPM 18370 Burbank Blvd Ste 107, Tarzana, CA 91356-2813 Ph: (818) 345-3338 |
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