Healthcare Provider Details

I. General information

NPI: 1083707251
Provider Name (Legal Business Name): LOC T LE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 W LAS POSITAS VALLEY CARE HOSPITAL
PLEASANTON CA
94855
US

IV. Provider business mailing address

183 CITY LIMITS CIRCLE
EMERYVILLE CA
94608
US

V. Phone/Fax

Practice location:
  • Phone: 925-416-3440
  • Fax:
Mailing address:
  • Phone: 510-547-4854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA80706
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA80706
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: