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NPI Code Detail

MEDICARE: DR. HOAN LE DO

MEDICARE: DR. HOAN LE DO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianPTL1950CA

General Provider Information

NPI Number : 1811574577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOAN LE DO
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number :
Provider Business Practice Location Address
First Line : 8627 ATLANTIC AVE
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-3501
Country : US
Telephone Number : 323-312-2605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2021
Last Update Date : 12/29/2025

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