Provider Demographics
NPI:1831467083
Name:HUA, LE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LE
Middle Name:
Last Name:HUA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 S SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-6107
Mailing Address - Country:US
Mailing Address - Phone:760-724-3116
Mailing Address - Fax:760-724-3250
Practice Address - Street 1:802 S SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-6107
Practice Address - Country:US
Practice Address - Phone:760-724-3116
Practice Address - Fax:760-724-3250
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist