Provider Demographics
NPI:1093917080
Name:THAO, LENG HENRY (DO, DC)
Entity Type:Individual
Prefix:DR
First Name:LENG
Middle Name:HENRY
Last Name:THAO
Suffix:
Gender:M
Credentials:DO, DC
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Mailing Address - Street 1:314 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3730
Mailing Address - Country:US
Mailing Address - Phone:559-791-7000
Mailing Address - Fax:559-781-8193
Practice Address - Street 1:329 W 8TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4533
Practice Address - Country:US
Practice Address - Phone:559-587-4532
Practice Address - Fax:559-589-1867
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2021-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9920207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine