MEDICARE: TRUC HONG LE CRNA

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	367500000X	Certified Registered Nurse Anesthetist	4014	CA

General Provider Information

NPI Number	:	1538452529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRUC HONG LE CRNA

Provider Business Mailing Address
First Line	:	7605 CORDIALLY WAY
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95757-6215
Country	:	US
Telephone Number	:	510-625-6262
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 HARRISON ST FL 7
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-3466
Country	:	US
Telephone Number	:	510-625-6262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2011
Last Update Date	:	06/23/2026

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