MEDICARE: MINH D LE DC

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	111N00000X	Chiropractor	36947	CA

General Provider Information

NPI Number	:	1912876061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINH D LE DC

Provider Business Mailing Address
First Line	:	1559 AMBERLEAF
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-8000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	32840 PACIFIC COAST HWY STE L
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-3469
Country	:	US
Telephone Number	:	949-661-9777
Fax Number	:

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

Provider Enumeration Date	:	11/05/2025
Last Update Date	:	11/05/2025

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Directions to “ MINH D LE DC” Practice Location

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