Individual
JONATHAN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12141 BROOKHURST ST STE 101, GARDEN GROVE, CA 92840-2865
(714) 296-1934
Mailing address
14362 BUSHARD ST SPC 25, WESTMINSTER, CA 92683-5154
(949) 966-3606
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
01/23/2024
Last updated
06/18/2025
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