Provider Demographics
NPI:1023233996
Name:LE, PHUONG MY (MS)
Entity type:Individual
Prefix:MISS
First Name:PHUONG
Middle Name:MY
Last Name:LE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8911 COLCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5416
Mailing Address - Country:US
Mailing Address - Phone:310-482-5597
Mailing Address - Fax:
Practice Address - Street 1:361 HOSPITAL RD
Practice Address - Street 2:SUITE 224
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3522
Practice Address - Country:US
Practice Address - Phone:949-515-5171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS