Provider Demographics
NPI:1952881815
Name:LE, DAVID (PHARMD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:LE
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10691 WESTMINSTER AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4911
Mailing Address - Country:US
Mailing Address - Phone:714-530-1188
Mailing Address - Fax:714-530-1199
Practice Address - Street 1:10691 WESTMINSTER AVE STE 101
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4911
Practice Address - Country:US
Practice Address - Phone:714-530-1188
Practice Address - Fax:714-530-1199
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty