| Tuan Le, M.d. A Professional Corporation | |
|
1569 Lexann Ave Suite 122 San Jose CA 95121-1794 | |
| (408) 531-1555 | |
| Not Available |
| Full Name | Tuan Le, M.d. A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1569 Lexann Ave, San Jose, California |
| Authorized Official Name and Position | Tuan Le (PRESIDENT) |
| Authorized Official Contact | 4085311555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuan Le, M.d. A Professional Corporation 1569 Lexann Ave Suite 122 San Jose CA 95121-1794 Ph: (408) 531-1555 | Tuan Le, M.d. A Professional Corporation 1569 Lexann Ave Suite 122 San Jose CA 95121-1794 Ph: (408) 531-1555 |
| NPI Number | 1003132457 |
|---|---|
| Provider Enumeration Date | 04/09/2010 |
| Last Update Date | 04/09/2010 |
| Medicare PECOS PAC ID | 3577692177 |
|---|---|
| Medicare Enrollment ID | O20100519000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003132457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A49909 (California) | Primary |
| Provider Name | Tuan Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982602710 PECOS PAC ID: 6709921950 Enrollment ID: I20100226000786 |
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