Provider Demographics
NPI:1366591695
Name:LE, JOHN NGHIA (DO)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:NGHIA
Last Name:LE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:27800 MEDICAL CENTER RD STE 204
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6408
Mailing Address - Country:US
Mailing Address - Phone:949-364-3532
Mailing Address - Fax:949-347-7645
Practice Address - Street 1:27800 MEDICAL CENTER RD STE 204
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6408
Practice Address - Country:US
Practice Address - Phone:949-364-3532
Practice Address - Fax:949-347-7645
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2025-03-25
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Provider Licenses
StateLicense IDTaxonomies
CA20A8146207Q00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology