MEDICARE: SON THANH LE, M.D. INC

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1114976362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SON THANH LE, M.D. INC

Provider Business Mailing Address
First Line	:	8887 WESTMINSTER AVE
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92844-2608
Country	:	US
Telephone Number	:	714-698-3880
Fax Number	:

Provider Business Practice Location Address
First Line	:	8887 WESTMINSTER AVE
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92844-2608
Country	:	US
Telephone Number	:	714-698-3880
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SON THANH LE
Credential	:	M.D.
Telephone Number	:	714-698-3880

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/22/2020

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