Individual
SONNY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Mailing address
6426 AMBROSIA DR APT 5310, SAN DIEGO, CA 92124-3149
(209) 247-4199
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
77475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77475
CALIFORNIA STATE BOARD OF PHARMACY LICENSE
CA
Enumeration date
07/13/2018
Last updated
07/13/2018
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