Son Thanh Le, M.d. Inc | |
8887 Westminster Ave Garden Grove CA 92844-2608 | |
(714) 698-3880 | |
Not Available |
Full Name | Son Thanh Le, M.d. Inc |
---|---|
Speciality | Internal Medicine |
Location | 8887 Westminster Ave, Garden Grove, California |
Authorized Official Name and Position | Son Thanh Le (PRESIDENT) |
Authorized Official Contact | 7146983880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Son Thanh Le, M.d. Inc 8887 Westminster Ave Garden Grove CA 92844-2608 Ph: (714) 698-3880 | Son Thanh Le, M.d. Inc 8887 Westminster Ave Garden Grove CA 92844-2608 Ph: (714) 698-3880 |
NPI Number | 1114976362 |
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Provider Enumeration Date | 05/08/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2163424227 |
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Medicare Enrollment ID | O20070202000465 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114976362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Son T Le |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861441552 PECOS PAC ID: 0446252506 Enrollment ID: I20070202000462 |
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