Provider Demographics
NPI:1073762274
Name:LE, QUY V (MD)
Entity Type:Individual
Prefix:
First Name:QUY
Middle Name:V
Last Name:LE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18225 BROOKHURST ST STE 6
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6719
Mailing Address - Country:US
Mailing Address - Phone:714-200-1499
Mailing Address - Fax:714-200-1497
Practice Address - Street 1:18225 BROOKHURST ST STE 6
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6719
Practice Address - Country:US
Practice Address - Phone:714-200-1499
Practice Address - Fax:714-200-1497
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2018-09-05
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Provider Licenses
StateLicense IDTaxonomies
CAA100948208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery