Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A74521 | CA |
NPI | 1043252943 |
---|---|
Provider Name | Dr. Annie Vo Le |
First Address | Rowland Heights, CA 91748-4112 |
Second Address | Monterey Park, CA 91755-3031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 18/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H89718 | (02) | CA |