| Phu Le, | |
|
401 S La Brea Ave, Inglewood, CA 90301-2321 | |
| (310) 275-7575 | |
| Not Available |
| Full Name | Phu Le |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 401 S La Brea Ave, Inglewood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104637735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 95030722 (California) | Primary |
| Entity Name | Advanced Lung Center Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164593323 PECOS PAC ID: 4082508197 Enrollment ID: O20040210000876 |
| Mailing Address | Practice Location Address |
|---|---|
| Phu Le, 1807 S Longwood Ave, Los Angeles, CA 90019-5520 Ph: (310) 561-9824 | Phu Le, 401 S La Brea Ave, Inglewood, CA 90301-2321 Ph: (310) 275-7575 |
Melody Ann Moore, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 E Hardy St Ste 160, Inglewood, CA 90301 Phone: 310-295-0075 | |
Mark Ross Silverio Mendoza, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 934 Larch St Apt 1b, Inglewood, CA 90301 Phone: 714-882-0696 | |
Ms. Claudine Harris, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 Larch St Apt 1, Inglewood, CA 90301 Phone: 424-219-2809 | |
Ms. Mai Chou Vang, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 310-673-4660 | |
Arsalan Sharifian Pour, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 818-577-0269 | |
Ms. Uchechi Blessing Kanu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Walnut St Apt 6, Inglewood, CA 90301 Phone: 310-994-8628 |