Provider Demographics
NPI:1316969462
Name:LE, BRIAN B (MD)
Entity type:Individual
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First Name:BRIAN
Middle Name:B
Last Name:LE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11770 BERNARDO PLAZA CT
Mailing Address - Street 2:STE. 315
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2422
Mailing Address - Country:US
Mailing Address - Phone:858-487-5090
Mailing Address - Fax:858-487-2906
Practice Address - Street 1:11770 BERNARDO PLAZA CT
Practice Address - Street 2:STE. 315
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2422
Practice Address - Country:US
Practice Address - Phone:858-487-5090
Practice Address - Fax:858-487-2906
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2012-09-24
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Provider Licenses
StateLicense IDTaxonomies
CAA84977207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH96616Medicare UPIN