Healthcare Provider Details

I. General information

NPI: 1427374537
Provider Name (Legal Business Name): HELEN HIEU LE RDHAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANH HIEU LE-KAWANO RDHAP

II. Dates (important events)

Enumeration Date: 04/14/2010
Last Update Date: 04/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8939 S SEPULVEDA BLVD STE. 110-768
LOS ANGELES CA
90045-3631
US

IV. Provider business mailing address

8939 S SEPULVEDA BLVD STE. 110-768
LOS ANGELES CA
90045-3631
US

V. Phone/Fax

Practice location:
  • Phone: 888-534-6753
  • Fax: 888-554-4265
Mailing address:
  • Phone: 888-534-6753
  • Fax: 888-554-4265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number232
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: