# L&L LIVE WELL NURSING PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093507139
- **Authorized official:** BUU-DIEN LE NP (CEO & PRESIDENT)
- **Authorized official phone:** (626) 517-9209

## Contact information

- **Practice address:** 1096 CALIMESA BLVD STE 111, CALIMESA, CA 92320-1563
- **Practice address phone:** (626) 517-9209
- **Practice address fax:** (626) 538-1089
- **Mailing address:** 1096 CALIMESA BLVD STE 111, CALIMESA, CA 92320-1563
- **Mailing address phone:** (626) 517-9209
- **Mailing address fax:** (626) 538-1089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2025
- **Last updated:** 07/29/2026