Individual
CALVIN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16630 S BROADWAY, GARDENA, CA 90248-2716
(310) 768-8155
Mailing address
1456 W 170TH ST, GARDENA, CA 90247-5412
(760) 477-3516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT298602
CA
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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