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NPI Code Detail

MEDICARE: DR. MIKE TIEN MINH LE D.C.

MEDICARE: DR. MIKE TIEN MINH LE D.C.
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
1111N00000XChiropractorDC-27798CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC27798OTHERCACA LICENSE NUMBER
21154491652OTHERNPPES

General Provider Information

NPI Number : 1386729853
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIKE TIEN MINH LE D.C.
Provider Business Mailing Address
First Line : 1637 IRVING ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-1813
Country : US
Telephone Number : 415-682-7798
Fax Number : 415-682-7876
Provider Business Practice Location Address
First Line : 1637 IRVING ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-1813
Country : US
Telephone Number : 415-682-7798
Fax Number : 415-682-7876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 01/30/2024

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