Organization
TOM L. LE, M.D., INC.
Active
Other names
COASTLINE URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM LONG LE M.D. (PRESIDENT)
(714) 710-3030
Entity
Organization
Contact information
Practice address
1421 W MACARTHUR BLVD, SUITE E, SANTA ANA, CA 92704-7318
(714) 710-3030
(714) 668-9596
Mailing address
1421 W MACARTHUR BLVD, SUITE E, SANTA ANA, CA 92704-7318
(714) 710-3030
(714) 668-9596
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
CA
261QU0200X
Urgent Care Clinic/Center
—
CA
261QX0100X
Occupational Medicine Clinic/Center
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669547006
NPI 1
CA
Enumeration date
05/21/2014
Last updated
09/17/2019
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