Organization Name: | ANTHONY W. LE, D.P.M., INC. |
NPI Number: | 1063540235 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY W LE (DIRECTOR) |
Mailing Address: | 18411 Clark St Suite 105 Tarzana |
State: | CA US |
Postal Code: | 913563506 |
Phone Number: | 8183453338 |
Fax Number: | 8183453363 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 10/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4333 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |