Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC-30915 | CA |
N | 111NX0100X | Occupational Health | DC30915 | CA |
NPI | 1346417144 |
---|---|
Provider Name | Dr. Vu Van Le |
First Address | San Jose, CA 95148 |
Second Address | San Jose, CA 95121-2415 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2008 |
Last Update Date | 10/06/2010 |