Individual
CAROLYN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17782 COWAN STE A, IRVINE, CA 92614-6041
(949) 722-7118
Mailing address
17595 HARVARD AVE STE C-806, IRVINE, CA 92614-8516
(949) 722-7118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
10/04/2024
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