Healthcare Provider Details

I. General information

NPI: 1346003167
Provider Name (Legal Business Name): THI AN HAO LE N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 FIVEPOINT STE A
IRVINE CA
92618-2621
US

IV. Provider business mailing address

1801 W ROMNEYA DR STE 203
ANAHEIM CA
92801-1824
US

V. Phone/Fax

Practice location:
  • Phone: 949-671-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95028908
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95028908
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95028908
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: