Individual
BUU-DIEN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
1096 CALIMESA BLVD STE 111, CALIMESA, CA 92320-1563
(626) 517-9209
(626) 538-1089
Mailing address
1096 CALIMESA BLVD STE 111, CALIMESA, CA 92320-1563
(626) 517-9209
(626) 538-1089
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
769520
CA
363L00000X
Nurse Practitioner
Primary
95000848
CA
363LF0000X
Family Nurse Practitioner
95000848
CA
Other
Enumeration date
03/26/2015
Last updated
07/29/2026
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