| Charles N Le Medical Alliance | |
| 
					4440 Euclid Ave Ste A San Diego CA 92115-4522  | |
| (619) 521-6812 | |
| (619) 521-6802 | 
| Full Name | Charles N Le Medical Alliance | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 4440 Euclid Ave Ste A, San Diego, California | 
| Authorized Official Name and Position | Charles Nguyen-thanh Le (PRESIDENT) | 
| Authorized Official Contact | 6199291605 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Charles N Le Medical Alliance 4440 Euclid Ave Ste A San Diego CA 92115-4522 Ph: (619) 521-6812  | Charles N Le Medical Alliance 4440 Euclid Ave Ste A San Diego CA 92115-4522 Ph: (619) 521-6812  | 
| NPI Number | 1225651508 | 
|---|---|
| Provider Enumeration Date | 05/21/2020 | 
| Last Update Date | 05/11/2021 | 
| Medicare PECOS PAC ID | 4385043751 | 
|---|---|
| Medicare Enrollment ID | O20210604002129 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225651508 | NPI | - | NPPES | 
| Provider Name | Nadine E Sidrick | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1134140718 PECOS PAC ID: 9234114356 Enrollment ID: I20040623000305  | 
| Provider Name | Charles N Le | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1821243759 PECOS PAC ID: 2860533767 Enrollment ID: I20131120001740  | 
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