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NPI Code Detail

MEDICARE: NGOC TRAM NGUYEN LE

MEDICARE: NGOC TRAM NGUYEN 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
1171M00000XCase Manager/Care Coordinator
2171M00000XCase Manager/Care CoordinatorCA
3172V00000XCommunity Health Worker
4373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1982193827
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGOC TRAM NGUYEN LE
Provider Business Mailing Address
First Line : 5348 UNIVERSITY AVE STE 108
Second Line :
City : SAN DIEGO
State : CA
Zip : 92105-8025
Country : US
Telephone Number : 619-540-4693
Fax Number :
Provider Business Practice Location Address
First Line : 8745 AERO DR STE 330
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1763
Country : US
Telephone Number : 619-540-4693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2018
Last Update Date : 04/03/2025

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Directions to “ NGOC TRAM NGUYEN LE ” Practice Location

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