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Physician Compare National (NPI:1568501005)

HEALTHCARE PROVIDER: CHUONG MINH LE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1568501005
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9537339726
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110826000431
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name LE
Individual professional last name
Provider First Name CHUONG
Individual professional first name
Provider Middle Name M
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2005
Individual professional's medical school graduation year
Primary Specialty NEUROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 200 JOSE FIGUERES AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 475
Group Practice or individual's line 2 address
City SAN JOSE
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 951161597
Group Practice or individual's zip code (9 digits when available)
Phone Number 4088004044
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 190267
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 FAIRWAY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 030065
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 BANNER DESERT MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 190278
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 SPECIALISTS HOSPITAL SHREVEPORT
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 260027
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 RESEARCH MEDICAL CENTER
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 420089
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 EAST COOPER MEDICAL CENTER
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment M

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