Organization
ADVANCED SPECIALTY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHOI LE MD (PHYSICIAN)
(559) 696-1051
Entity
Organization
Contact information
Practice address
1681 E. BANWELL LANE, FRESNO, CA 93730
(559) 696-1051
Mailing address
1681 E BANWELL LN, FRESNO, CA 93730-3595
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A77166
CA
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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