Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NS0005X | Chiropractic Sports Physician | 27342 | CA |
N | 111NX0100X | Occupational Health | 27342 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 27342 | CA |
NPI | 1730155342 |
---|---|
Provider Name | Dr. Long T Le |
First Address | San Francisco, CA 94118-1725 |
Second Address | San Francisco, CA 94118-1725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 08/07/2007 |