Provider Demographics
NPI:1275850893
Name:LE, ALEXANDER DINH (DC)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:DINH
Last Name:LE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9211 BOLSA AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5570
Mailing Address - Country:US
Mailing Address - Phone:714-899-0577
Mailing Address - Fax:
Practice Address - Street 1:9211 BOLSA AVE STE 212
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5570
Practice Address - Country:US
Practice Address - Phone:714-899-0577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28899111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor