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General NPI Number Information
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NPI Number | 1316183452
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Entity Type | Individual
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Provider Name | WILLIAM LE
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Gender | Male
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Dates
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Enumeration Date | 12/19/2008
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Last Update Date | 12/19/2008
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Provider Practice Location Address
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Address Line | 9143 VALLEY BLVD STE 101B
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City | ROSEMEAD
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State | CA
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Zip | 91770-1993
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Country | US
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Telephone | 626-237-0135
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Fax | 626-237-0136
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Provider Business Mailing Address
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Address Line | 11941 ROBERT LN
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City | GARDEN GROVE
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State | CA
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Zip | 92840-2542
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Country | US
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Telephone | 714-655-8578
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Fax | 425-920-6329
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA20119
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License Number State | CA
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