Provider Demographics
NPI:1669686184
Name:LE, CHRISTINE H
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:H
Last Name:LE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 261313
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92196-1313
Mailing Address - Country:US
Mailing Address - Phone:858-277-6730
Mailing Address - Fax:858-277-1692
Practice Address - Street 1:6939 LINDA VISTA RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-6305
Practice Address - Country:US
Practice Address - Phone:858-277-6730
Practice Address - Fax:858-277-1692
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH48854183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist