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NPI Code Detail

MEDICARE: DUNG Q LE MD A PROFESSIONAL CORPORATION

MEDICARE: DUNG Q LE MD A PROFESSIONAL CORPORATION
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
1207W00000XOphthalmology PhysicianA79927CA

General Provider Information

NPI Number : 1356520241
Entity Type Code : Organization
Provider Name (Legal Business Name) : DUNG Q LE MD A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 36921 COOK ST STE 103
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-6070
Country : US
Telephone Number : 760-836-3937
Fax Number : 760-836-1151
Provider Business Practice Location Address
First Line : 36921 COOK ST
Second Line : SUITE 103
City : PALM DESERT
State : CA
Zip : 92211-6070
Country : US
Telephone Number : 760-836-3937
Fax Number : 760-836-1151
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. DUNG Q LE
Credential : MD
Telephone Number : 760-836-3937
Provider Enumeration Date : 10/29/2007
Last Update Date : 04/15/2008

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Directions to “DUNG Q LE MD A PROFESSIONAL CORPORATION ” Practice Location

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