| Le Tam Md Pc | |
|
199 E Webster St Colusa CA 95932-2954 | |
| (702) 453-3799 | |
| (702) 453-5741 |
| Full Name | Le Tam Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 199 E Webster St, Colusa, California |
| Authorized Official Name and Position | Tam Canh Le (OWNER) |
| Authorized Official Contact | 7756860556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Le Tam Md Pc 15521 Sunburst Ln Huntington Beach CA 92647-2942 Ph: (702) 453-3799 | Le Tam Md Pc 199 E Webster St Colusa CA 95932-2954 Ph: (702) 453-3799 |
| NPI Number | 1174928097 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Medicare PECOS PAC ID | 3173846953 |
|---|---|
| Medicare Enrollment ID | O20141231001241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174928097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A117637 (California) | Primary |
| Provider Name | Tam Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336381607 PECOS PAC ID: 6103082920 Enrollment ID: I20130320000364 |
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