Provider Demographics
NPI:1669767406
Name:LE, VICTOR N (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:N
Last Name:LE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:P.O. BOX 9195
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92728
Mailing Address - Country:US
Mailing Address - Phone:714-612-9309
Mailing Address - Fax:323-987-1365
Practice Address - Street 1:1001 S. GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801
Practice Address - Country:US
Practice Address - Phone:714-612-9309
Practice Address - Fax:323-987-1365
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA111657207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine