Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 31650 | CA |
Y | 213EG0000X | General Practice | 31650 | CA |
NPI | 1003932807 |
---|---|
Provider Name | Dr. Diem Vy Le |
First Address | Westminster, CA 92683-4605 |
Second Address | Westminster, CA 92683-4605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
501721 | (02) | CA |