MEDICARE: VALERIE LE FNP-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
1	207R00000X	Internal Medicine Physician	G81642	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568004257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE LE FNP-C

Provider Business Mailing Address
First Line	:	2243 WOODRANCH RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95131-2600
Country	:	US
Telephone Number	:	415-323-9802
Fax Number	:

Provider Business Practice Location Address
First Line	:	969 STORY RD UNIT 6060A
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95122-4601
Country	:	US
Telephone Number	:	408-223-8818
Fax Number	:

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

Provider Enumeration Date	:	10/14/2019
Last Update Date	:	10/14/2019

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Directions to “ VALERIE LE FNP-C” Practice Location

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