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NPI Code Detail

MEDICARE: CHELSEA LE

MEDICARE: CHELSEA 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
1152W00000XOptometrist36268CA

General Provider Information

NPI Number : 1821899543
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA LE
Provider Business Mailing Address
First Line : 1230 E JASON DR
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-5635
Country : US
Telephone Number : 407-456-3306
Fax Number :
Provider Business Practice Location Address
First Line : 5460 E LA PALMA AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92807-2023
Country : US
Telephone Number : 714-463-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2025
Last Update Date : 06/02/2026

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Directions to “ CHELSEA LE ” Practice Location

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