| Tuan Dai Le, M.d, A Professional Corporation | |
|
1151 E Holt Ave Suite Q Pomona CA 91767-5813 | |
| (909) 620-8436 | |
| (909) 868-5134 |
| Full Name | Tuan Dai Le, M.d, A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1151 E Holt Ave, Pomona, California |
| Authorized Official Name and Position | Tuan Dai Le (OWNER) |
| Authorized Official Contact | 9096208436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuan Dai Le, M.d, A Professional Corporation 1151 E Holt Ave Suite Q Pomona CA 91767-5813 Ph: (909) 620-8436 | Tuan Dai Le, M.d, A Professional Corporation 1151 E Holt Ave Suite Q Pomona CA 91767-5813 Ph: (909) 620-8436 |
| NPI Number | 1205017035 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 06/25/2014 |
| Medicare PECOS PAC ID | 9638249329 |
|---|---|
| Medicare Enrollment ID | O20080606000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205017035 | NPI | - | NPPES |
| 00A600321 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A60032 (California) | Primary |
| Provider Name | Tuan D Le |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528243359 PECOS PAC ID: 8022027028 Enrollment ID: I20060419000831 |
Younis & Lamia Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 N Orange Grove Ave, Suite 102, Pomona, CA 91767 Phone: 909-622-8791 Fax: 909-865-6223 | |
Pomona Valley Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1568 N Orange Grove Ave Ste A, Pomona, CA 91767 Phone: 909-868-6666 Fax: 909-868-0206 | |
Luis Perez, M.d., A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 716 E Mission Blvd, Suite D, Pomona, CA 91766 Phone: 909-865-2332 | |
California State Polytechnic University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 W Temple Ave, Pomona, CA 91768 Phone: 909-869-4000 | |
Kenneth W Lee & Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 160 E Artesia St, Suite 140, Pomona, CA 91767 Phone: 909-622-3800 Fax: 909-622-2600 | |
Stefanus Muljana Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 N Garey Ave, Pomona, CA 91767 Phone: 909-865-6255 Fax: 909-865-6355 | |
State Of California - Department Of Developmental Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3530 W Pomona Blvd, Pomona, CA 91768 Phone: 909-444-7000 |