Provider Demographics
NPI:1366806515
Name:LE, LINH HONG (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LINH
Middle Name:HONG
Last Name:LE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1382 N MOORPARK RD
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-5224
Mailing Address - Country:US
Mailing Address - Phone:805-449-1971
Mailing Address - Fax:805-497-1765
Practice Address - Street 1:1382 N MOORPARK RD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-5224
Practice Address - Country:US
Practice Address - Phone:805-449-1971
Practice Address - Fax:805-497-1765
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist