Organization
GIA D LE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIA D. LE M.D. (PRESIDENT)
(626) 839-9100
Entity
Organization
Contact information
Practice address
1523 E AMAR RD, STE F, WEST COVINA, CA 91792-1619
(626) 839-9100
Mailing address
17150 NEWHOPE ST, STE 507, FOUNTAIN VALLEY, CA 92708-4250
(714) 437-7400
(714) 437-7410
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
A32938
CA
208VP0014X
Interventional Pain Medicine Physician
A32938
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A32938
STATE LICENSE
CA
Enumeration date
10/23/2006
Last updated
03/17/2010
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