MEDICARE: VICTORIA LE

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	183500000X	Pharmacist	91449	CA

General Provider Information

NPI Number	:	1376418590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA LE

Provider Business Mailing Address
First Line	:	31697 FLINTRIDGE WAY
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-3279
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	27975 BRADLEY RD
Second Line	:
City	:	MENIFEE
State	:	CA
Zip	:	92586-2273
Country	:	US
Telephone Number	:	951-246-3092
Fax Number	:

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

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	10/07/2025

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Directions to “ VICTORIA LE ” Practice Location

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