MEDICARE: DR. QUYNHCHAU HOANG LE DDS

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	1223G0001X	General Practice Dentistry	37615	CA

General Provider Information

NPI Number	:	1538366125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QUYNHCHAU HOANG LE DDS

Provider Business Mailing Address
First Line	:	7631 WESTMINSTER BLVD STE A
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-3919
Country	:	US
Telephone Number	:	714-895-4030
Fax Number	:

Provider Business Practice Location Address
First Line	:	9938 BOLSA AVE STE 106
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-6039
Country	:	US
Telephone Number	:	714-531-1192
Fax Number	:

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

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	12/12/2019

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