Individual
ANDY PHUOC QUANG LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17100 EUCLID ST, FOUNTAIN VALLEY, CA 92708-4004
(714) 966-7200
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 734-7101
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A78649
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A78649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A786490
BLUE SHIELD
—
05
—
00A786490
—
CA
01
—
P00140823
RAILROAD MEDICARE
—
Enumeration date
12/14/2005
Last updated
02/04/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us