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Organization
TUAN DAI LE, M.D, A PROFESSIONAL CORPORATION
Active
Organization
TUAN DAI LE, M.D, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUAN DAI LE MD (OWNER)
(909) 620-8436
Entity
Organization
Contact information
Practice address
1151 E HOLT AVE, SUITE Q, POMONA, CA 91767-5813
(909) 620-8436
(909) 868-5134
Mailing address
1151 E HOLT AVE, SUITE Q, POMONA, CA 91767-5813
(909) 620-8436
(909) 868-5134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A60032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A600321
—
CA
Enumeration date
11/20/2007
Last updated
06/25/2014
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