Healthcare Provider Details

I. General information

NPI: 1821548298
Provider Name (Legal Business Name): DUY LE PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15700 S WESTERN AVE
GARDENA CA
90247-3702
US

IV. Provider business mailing address

4106 W 178TH ST
TORRANCE CA
90504-3633
US

V. Phone/Fax

Practice location:
  • Phone: 310-538-3131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number64986
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: