Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | A158257 | CA |
NPI | 1396227153 |
---|---|
Provider Name | Vu Hoan Le |
First Address | Alhambra, CA 91801-5859 |
Second Address | Alhambra, CA 91801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2018 |
Last Update Date | 29/08/2018 |