Organization
DANIEL Q LE, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
DANIEL Q LE, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL Q LE MD (PRESIDENT)
(818) 550-0900
Entity
Organization
Contact information
Practice address
17 CORPORATE PLAZA DR STE 110, NEWPORT BEACH, CA 92660-7925
(949) 574-5100
(949) 574-5138
Mailing address
PO BOX 53964, IRVINE, CA 92619-3964
(818) 550-0900
(818) 550-0909
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G71070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G710700
BLUE SHIELD
CA
05
—
00G710701
—
CA
Enumeration date
05/03/2007
Last updated
01/05/2011
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