Individual
CRYSTAL PHUONG LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
491 30TH ST STE 103, OAKLAND, CA 94609-3235
(510) 763-9775
Mailing address
491 30TH ST, STE 103, OAKLAND, CA 94609-3235
(510) 763-9775
Taxonomy
Speciality
Code
Description
License number
State
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
A154634
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2014
Last updated
10/01/2022
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