Healthcare Provider Details

I. General information

NPI: 1407481005
Provider Name (Legal Business Name): FRANCIS TUONG LE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2020
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10525 4S COMMONS DR
SAN DIEGO CA
92127-3512
US

IV. Provider business mailing address

10525 4S COMMONS DR
SAN DIEGO CA
92127-3512
US

V. Phone/Fax

Practice location:
  • Phone: 858-675-7028
  • Fax: 858-675-8288
Mailing address:
  • Phone: 858-675-7028
  • Fax: 858-675-8288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number73302
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number73302
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: