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NPI Code Detail

MEDICARE: NAM-PHONG HUNG LE ASW, MSW

MEDICARE: NAM-PHONG HUNG LE ASW, MSW
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
1171M00000XCase Manager/Care Coordinator
21041C0700XClinical Social WorkerASW77179CA

General Provider Information

NPI Number : 1629225925
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAM-PHONG HUNG LE ASW, MSW
Provider Business Mailing Address
First Line : 1601 PRECISION PARK LN
Second Line :
City : SAN DIEGO
State : CA
Zip : 92173-1345
Country : US
Telephone Number : 619-662-4100
Fax Number :
Provider Business Practice Location Address
First Line : 1601 PRECISION PARK LN
Second Line :
City : SAN DIEGO
State : CA
Zip : 92173-1345
Country : US
Telephone Number : 619-717-7449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2008
Last Update Date : 11/09/2022

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