Organization
STACEY QT LE, OD PROFESSIONAL OPTOMETRY CORPORATION
Active
Organization
STACEY QT LE, OD PROFESSIONAL OPTOMETRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY QT LE OD (PRES)
(714) 895-4899
Entity
Organization
Contact information
Practice address
7038 KATELLA AVE, STANTON, CA 90680-2805
(714) 895-4899
Mailing address
7038 KATELLA AVE, STANTON, CA 90680-2805
(714) 895-4899
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OP10232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0102320
—
CA
Enumeration date
05/22/2008
Last updated
05/22/2008
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