Healthcare Provider Details

I. General information

NPI: 1912844135
Provider Name (Legal Business Name): LINH HOANG NGOC LE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

5970 SONOMA STATION AVE
LAS VEGAS NV
89139-7586
US

IV. Provider business mailing address

5970 SONOMA STATION AVE
LAS VEGAS NV
89139-7586
US

V. Phone/Fax

Practice location:
  • Phone: 408-656-7380
  • Fax:
Mailing address:
  • Phone: 408-656-7380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number890173
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: