Healthcare Provider Details

I. General information

NPI: 1679412068
Provider Name (Legal Business Name): NADIA LE, LCSW APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 704 BOX 2133
APO AP
96338-0022
US

IV. Provider business mailing address

11262 TESOTA LOOP ST
CORONA CA
92883-3060
US

V. Phone/Fax

Practice location:
  • Phone: 714-362-1347
  • Fax: 951-346-3959
Mailing address:
  • Phone: 714-362-1347
  • Fax: 951-346-3959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NADIA N LE
Title or Position: OWNER
Credential: LCSW
Phone: 714-362-1347