MEDICARE: ANH LE

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	208000000X	Pediatrics Physician	A167130	CA
2	208000000X	Pediatrics Physician	MD61479614	WA

General Provider Information

NPI Number	:	1710482674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANH LE

Provider Business Mailing Address
First Line	:	PO BOX 5299
Second Line	:	MS: 820-5-PCO
City	:	TACOMA
State	:	WA
Zip	:	98415-0299
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11102 SUNSET BLVD E #103
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98374
Country	:	US
Telephone Number	:	253-848-8797
Fax Number	:	253-845-1114

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

Provider Enumeration Date	:	03/24/2018
Last Update Date	:	04/03/2026

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Directions to “ ANH LE ” Practice Location

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