Individual
JOAN T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3030 CHILDREN'S WAY, STE 300, SAN DIEGO, CA 92123-4228
(858) 966-8974
(858) 966-6721
Mailing address
3020 CHILDRENS WAY, MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
(858) 309-6301
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A99391
CA
2081P0010X
Pediatric Rehabilitation Medicine Physician
A99391
CA
Other
Enumeration date
05/23/2007
Last updated
11/13/2013
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