Individual
VIVIAN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11376 PRIMROSE AVE, FOUNTAIN VALLEY, CA 92708-1751
(714) 702-7034
Mailing address
11376 PRIMROSE AVE, FOUNTAIN VALLEY, CA 92708-1751
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95034048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95034048
STATE LICENSE NUMBER
CA
Enumeration date
07/21/2025
Last updated
07/21/2025
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