MEDICARE: DR. THANG Q LE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	A71456	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265494223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THANG Q LE MD

Provider Business Mailing Address
First Line	:	PO BOX 3098
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90510-3098
Country	:	US
Telephone Number	:	310-792-3914
Fax Number	:	310-792-3802

Provider Business Practice Location Address
First Line	:	9201 SUNSET BLVD
Second Line	:	STE #406
City	:	LOS ANGELES
State	:	CA
Zip	:	90069-3705
Country	:	US
Telephone Number	:	310-887-1730
Fax Number	:	310-887-1734

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	05/29/2008

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Directions to “ DR. THANG Q LE MD” Practice Location

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