Individual
DOMINIC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2230 STOCKTON BLVD RM 202, SACRAMENTO, CA 95817-1353
(916) 703-6756
Mailing address
414 BRANHAM LN E, SAN JOSE, CA 95111-2761
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A177665
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
08/01/2022
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