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NPI Code Detail

MEDICARE: JENNA THANH LE MD

MEDICARE: JENNA THANH LE MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1700688355
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA THANH LE MD
Provider Business Mailing Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1092
Country : US
Telephone Number : 510-437-4800
Fax Number : 510-535-7313
Provider Business Practice Location Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1092
Country : US
Telephone Number : 510-437-4800
Fax Number : 510-535-7313
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2025
Last Update Date : 04/07/2026

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