Individual
DR. BILLY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17360 BROOKHURST STREET, ATTN: CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708
(714) 797-1797
Mailing address
17360 BROOKHURST STREET, ATTN: CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A11949
CA
208M00000X
Hospitalist Physician
Primary
20A11949
CA
Other
Enumeration date
04/06/2010
Last updated
07/31/2018
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