Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A112075 | CA |
N | 2084N0400X | Neurologist | A112075 | CA |
NPI | 1033386024 |
---|---|
Provider Name | Catherine Thuy Le |
First Address | Los Angeles, CA 90095-8358 |
Second Address | Los Angeles, CA 90095-8358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 28/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033386024 | (05) | CA |