Provider Demographics
NPI:1407046386
Name:LE, GIAP NGUYEN (OD)
Entity Type:Individual
Prefix:DR
First Name:GIAP
Middle Name:NGUYEN
Last Name:LE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17532 TEACHERS AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6654
Mailing Address - Country:US
Mailing Address - Phone:949-232-6139
Mailing Address - Fax:949-387-6406
Practice Address - Street 1:9191 WESTMINSTER AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-2751
Practice Address - Country:US
Practice Address - Phone:714-698-8100
Practice Address - Fax:714-698-8101
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13265152W00000X
CAML1792058152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWOP13265HOtherMEDICARE INDIVIDUAL PTAN
CAWOP13265GOtherMEDICARE INDIVIDUAL PTAN
CAWOP13265DOtherMEDICARE INDIVIDUAL PTAN
CAWOP13265EOtherMEDICARE INDIVIDUAL PTAN
CAWOP13265COtherMEDICARE INDIVIDUAL PTAN
CAWOP13265FOtherMEDICARE INDIVIDUAL PTAN
CAWOP13265MOtherMEDICARE INDIVIDUAL PTAN
CAWOP13265IOtherMEDICARE INDIVIDUAL PTAN
CAWOP13265JOtherMEDICARE INDIVIDUAL PTAN
CAWOP13265KOtherMEDICARE INDIVIDUAL PTAN
CAWOP13265LOtherMEDICARE INDIVIDUAL PTAN
CAWOP13265AOtherMEDICARE INDIVIDUAL PTAN
CAWOP13265BOtherMEDICARE INDIVIDUAL PTAN