Individual
DR. DE HIEU LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 13TH STREET, OAKLAND, CA 94612
(510) 839-2758
(510) 839-0859
Mailing address
312 13TH STREET, OAKLAND, CA 94612
(510) 839-2758
(510) 839-0859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A35088
CA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
A35088
CA
207QA0505X
Adult Medicine Physician
A35088
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A35088
CA
208000000X
Pediatrics Physician
Primary
A35088
CA
2083P0901X
Public Health & General Preventive Medicine Physician
A35088
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6130916
—
CA
Enumeration date
09/28/2006
Last updated
10/29/2010
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