MEDICARE: VINCENT LE DO

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	207Q00000X	Family Medicine Physician	20A8549	CA

General Provider Information

NPI Number	:	1760485171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT LE DO

Provider Business Mailing Address
First Line	:	3640 SWEIGERT RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95132-2448
Country	:	US
Telephone Number	:	408-318-2840
Fax Number	:

Provider Business Practice Location Address
First Line	:	3640 SWEIGERT RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95132-2448
Country	:	US
Telephone Number	:	408-318-2840
Fax Number	:

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	02/05/2014

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Directions to “ VINCENT LE DO” Practice Location

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