Individual
LOC T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 W LAS POSITAS, VALLEY CARE HOSPITAL, PLEASANTON, CA 94855
(925) 416-3440
Mailing address
183 CITY LIMITS CIRCLE, EMERYVILLE, CA 94608
(510) 547-4854
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A80706
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A80706
CA
Other
Enumeration date
10/02/2006
Last updated
11/21/2025
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