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NPI Code Detail

MEDICARE: MISS LINH PHUONG HOANG LE

MEDICARE: MISS LINH PHUONG HOANG LE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183700000XPharmacy Technician99588CA

General Provider Information

NPI Number : 1023364122
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LINH PHUONG HOANG LE
Provider Business Mailing Address
First Line : 5155 CENTRAL AVE
Second Line : # 24
City : RIVERSIDE
State : CA
Zip : 92504-1818
Country : US
Telephone Number : 951-275-4649
Fax Number :
Provider Business Practice Location Address
First Line : 1745 UNIVERSITY AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-5343
Country : US
Telephone Number : 951-684-5661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2012
Last Update Date : 07/27/2012

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Directions to “ MISS LINH PHUONG HOANG LE ” Practice Location

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