Healthcare Provider Details

I. General information

NPI: 1659203438
Provider Name (Legal Business Name): LE LE THEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2219 RIMLAND DR STE 301
BELLINGHAM WA
98226-8759
US

IV. Provider business mailing address

6970 GRAND CENTRAL PKWY
FOREST HILLS NY
11375-3949
US

V. Phone/Fax

Practice location:
  • Phone: 855-722-9700
  • Fax: 844-222-0800
Mailing address:
  • Phone: 718-263-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMDCE.ML.70149647
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: