Healthcare Provider Details

I. General information

NPI: 1184541120
Provider Name (Legal Business Name): LAN HOANG LE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14170 BROOKHURST ST
GARDEN GROVE CA
92843-4658
US

IV. Provider business mailing address

14170 BROOKHURST ST
GARDEN GROVE CA
92843-4658
US

V. Phone/Fax

Practice location:
  • Phone: 714-272-5081
  • Fax:
Mailing address:
  • Phone: 714-272-5081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS113143
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS113143
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: