Healthcare Provider Details

I. General information

NPI: 1346186749
Provider Name (Legal Business Name): LE PEDIATRICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9341 BOLSA AVE
WESTMINSTER CA
92683-5928
US

IV. Provider business mailing address

9341 BOLSA AVE
WESTMINSTER CA
92683-5928
US

V. Phone/Fax

Practice location:
  • Phone: 714-894-9666
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE LE-PUGEDA
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 714-894-9666