Healthcare Provider Details

I. General information

NPI: 1851396790
Provider Name (Legal Business Name): HIEU H LE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HIEU HUE LE M.D.

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 MONSERRAT PL
FOOTHILL RANCH CA
92610-1903
US

IV. Provider business mailing address

58 MONSERRAT PL
FOOTHILL RANCH CA
92610-1903
US

V. Phone/Fax

Practice location:
  • Phone: 949-837-7116
  • Fax:
Mailing address:
  • Phone: 949-837-7116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberE5400
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: