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General NPI Number Information
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NPI Number | 1932331469
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Entity Type | Organization
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Legal Business Name | RICHARD LE, MD, FCCP
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 12221 BROOKHURST ST STE 100
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City | GARDEN GROVE
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State | CA
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Zip | 92840-2848
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Country | US
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Telephone | 714-805-8260
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Fax | 714-369-6245
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Provider Business Mailing Address
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Address Line | 1119 PINE ST
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2736
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Country | US
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Telephone | 714-369-4819
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RICHARD DAVID LE
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Credential | MD
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Telephone | 714-369-4819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A88276
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A88276
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License Number State | CA
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