Provider Demographics
NPI:1225484066
Name:LE, CHAU (NP)
Entity type:Individual
Prefix:
First Name:CHAU
Middle Name:
Last Name:LE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 SPEAR ST STE 1100
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-6164
Mailing Address - Country:US
Mailing Address - Phone:408-828-3902
Mailing Address - Fax:888-593-0815
Practice Address - Street 1:201 SPEAR ST STE 1100
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-6164
Practice Address - Country:US
Practice Address - Phone:408-828-3902
Practice Address - Fax:888-593-0815
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-11
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA840595163W00000X
CA95004557363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner