Healthcare Provider Details

I. General information

NPI: 1487509378
Provider Name (Legal Business Name): ALLISON LE MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 MCFADDEN AVE STE 201
WESTMINSTER CA
92683-6978
US

IV. Provider business mailing address

9900 MCFADDEN AVE STE 201
WESTMINSTER CA
92683-6978
US

V. Phone/Fax

Practice location:
  • Phone: 858-859-2651
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: BAO HAN ALLISON LE
Title or Position: OWNER
Credential: MD
Phone: 858-859-2651