Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A92720 | CA |
NPI | 1013095686 |
---|---|
Provider Name | Anh H. Le |
First Address | Stockton, CA 95201-3120 |
Second Address | French Camp, CA 95231-9693 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 27/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A927200 | (05) | CA |
1013095686 | (05) | CA |