Individual
ANH X LE
Active
Individual
ANH X LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G79842
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G79842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0368640001
DMERC
—
01
—
C6P159090
CGP
—
05
—
ZZZ71793Z
—
CA
Enumeration date
05/24/2006
Last updated
09/11/2025
Update your record
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