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Organization
TIMBERLAKE FAMILY PRACTICE A MEDICAL CORPORATION
Active
Organization
TIMBERLAKE FAMILY PRACTICE A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE LE MD (PHYSICIAN)
(916) 691-5855
Entity
Organization
Contact information
Practice address
9381 E STOCKTON BLVD STE 216, ELK GROVE, CA 95624-5070
(916) 691-5855
(916) 691-6066
Mailing address
9381 E STOCKTON BLVD STE 216, ELK GROVE, CA 95624-5070
(916) 691-5855
(916) 691-6066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222025702
—
CA
Enumeration date
08/19/2006
Last updated
11/19/2025
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