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NPI Code Detail

MEDICARE: VU LE, DDS, INC.

MEDICARE: VU LE, DDS, INC.
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
11223G0001XGeneral Practice Dentistry49773CA

General Provider Information

NPI Number : 1841356292
Entity Type Code : Organization
Provider Name (Legal Business Name) : VU LE, DDS, INC.
Provider Business Mailing Address
First Line : 26700 TOWNE CENTRE DR STE 130
Second Line :
City : FOOTHILL RANCH
State : CA
Zip : 92610-2843
Country : US
Telephone Number : 949-600-7777
Fax Number : 949-600-7770
Provider Business Practice Location Address
First Line : 26700 TOWNE CENTRE DR STE 130
Second Line :
City : FOOTHILL RANCH
State : CA
Zip : 92610-2843
Country : US
Telephone Number : 949-600-7777
Fax Number : 949-600-7770
Authorized Official
Title or Position : PRESIDENT
Name : VU QUANG LE
Credential : DDS
Telephone Number : 949-600-7777
Provider Enumeration Date : 12/29/2006
Last Update Date : 08/22/2020

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