Healthcare Provider Details

I. General information

NPI: 1780797381
Provider Name (Legal Business Name): HUAN A. LE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5507 EL CAJON BLVD #C
SAN DIEGO CA
92115
US

IV. Provider business mailing address

5507 EL CAJON BLVD #C
SAN DIEGO CA
92115
US

V. Phone/Fax

Practice location:
  • Phone: 619-582-1448
  • Fax: 619-582-1081
Mailing address:
  • Phone: 619-582-1448
  • Fax: 619-582-1081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA76373
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA76373
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA76373
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: