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NPI 1437065125

NPI 1437065125 : QUAN LE DPT : EL SEGUNDO, CA

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General NPI Number Information
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    NPI Number           |    1437065125
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    Entity Type          |    Individual 
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    Provider Name        |    QUAN LE DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/21/2026
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    Last Update Date     |    08/21/2026
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Provider Practice Location Address
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    Address Line         |    2101 E EL SEGUNDO BLVD 
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    City                 |    EL SEGUNDO
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    State                |    CA
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    Zip                  |    90245-4518
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    Country              |    US
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    Telephone            |    310-810-4881
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15911 MAYBROOK ST 
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    City                 |    WESTMINSTER
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    State                |    CA
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    Zip                  |    92683-7240
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    Country              |    US
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    Telephone            |    714-908-6176
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    Fax                  |    
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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        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    
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    License Number State |    CA
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