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NPI Code Detail

MEDICARE: DR DE HIEU LE A PROFESSIONAL CORP

MEDICARE: DR DE HIEU LE A PROFESSIONAL CORP
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
1207Q00000XFamily Medicine PhysicianA35088CA

General Provider Information

NPI Number : 1538479472
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR DE HIEU LE A PROFESSIONAL CORP
Provider Business Mailing Address
First Line : 312-13TH STREET
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3917
Country : US
Telephone Number : 510-839-0859
Fax Number :
Provider Business Practice Location Address
First Line : 312 13TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3917
Country : US
Telephone Number : 510-839-0859
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : DR. DE HIEU LE
Credential : MEDICAL DOCTOR
Telephone Number : 510-839-2758
Provider Enumeration Date : 10/13/2010
Last Update Date : 06/19/2015

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Directions to “DR DE HIEU LE A PROFESSIONAL CORP ” Practice Location

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