Individual
MR. TRI T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
19401 S VERMONT AVE STE L100, TORRANCE, CA 90502-4459
(310) 324-5777
Mailing address
13402 MAGNOLIA ST APT 5, GARDEN GROVE, CA 92844-2246
(714) 539-9960
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 18015
CA
Other
Enumeration date
10/16/2006
Last updated
11/05/2008
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