Healthcare Provider Details

I. General information

NPI: 1598698607
Provider Name (Legal Business Name): DR. JOSHUA LE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26520 CACTUS AVE
MORENO VALLEY CA
92555-3927
US

IV. Provider business mailing address

22719 LAKEWAY DR UNIT 397
DIAMOND BAR CA
91765-4466
US

V. Phone/Fax

Practice location:
  • Phone: 951-486-6575
  • Fax: 951-486-5910
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: