MEDICARE: ANH X 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	207X00000X	Orthopaedic Surgery Physician	G79842	CA
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	G79842	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0368640001	OTHER	DMERC
3	C6P159090	OTHER	CGP

General Provider Information

NPI Number	:	1437104478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANH X LE MD

Provider Business Mailing Address
First Line	:	2488 N CALIFORNIA ST
Second Line	:	ALPINE ORTHOPAEDIC MEDICAL GROUP INC
City	:	STOCKTON
State	:	CA
Zip	:	95204-5508
Country	:	US
Telephone Number	:	209-948-3333
Fax Number	:	209-948-2665

Provider Business Practice Location Address
First Line	:	2488 N CALIFORNIA ST
Second Line	:	ALPINE ORTHOPAEDIC MEDICAL GROUP INC
City	:	STOCKTON
State	:	CA
Zip	:	95204-5508
Country	:	US
Telephone Number	:	209-948-3333
Fax Number	:	209-948-2665

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	09/11/2025

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Directions to “ ANH X LE MD” Practice Location

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