Organization Name: | CAM VAN LE,MD,INC |
NPI Number: | 1144598897 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAM VAN LE (PRESIDENT) |
Mailing Address: | 9341 Bolsa Ave Westminster |
State: | CA US |
Postal Code: | 926835928 |
Phone Number: | 7148949666 |
Fax Number: | 7148946387 |
NPI Enumeration Date: | 12/09/2011 |
NPI Last Update Date: | 12/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A42446 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |