Provider Demographics
NPI:1154346542
Name:LE, NGUYET BICH (MD)
Entity type:Individual
Prefix:MRS
First Name:NGUYET
Middle Name:BICH
Last Name:LE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1771 W ROMNEYA DR
Mailing Address - Street 2:STE E1
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-1817
Mailing Address - Country:US
Mailing Address - Phone:714-535-5589
Mailing Address - Fax:714-535-1026
Practice Address - Street 1:1771 W ROMNEYA DR
Practice Address - Street 2:STE E1
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1817
Practice Address - Country:US
Practice Address - Phone:714-535-5589
Practice Address - Fax:714-535-1026
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2022-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG81603207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG81603Medicare ID - Type UnspecifiedMEDICARE PROVIDER