Individual
ANN THIEN NGOC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1819 WESTERN AVE, SAN BERNARDINO, CA 92411-1307
(888) 530-4415
Mailing address
1819 WESTERN AVE, SAN BERNARDINO, CA 92411-1307
(888) 530-4415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A181643
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2019
Last updated
02/28/2026
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