Provider Demographics
NPI:1972098762
Name:LE, HUNG (APRN)
Entity type:Individual
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First Name:HUNG
Middle Name:
Last Name:LE
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Gender:M
Credentials:APRN
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Mailing Address - Street 1:4700 INGLEWOOD BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-5896
Mailing Address - Country:US
Mailing Address - Phone:310-392-8636
Mailing Address - Fax:310-943-3521
Practice Address - Street 1:4700 INGLEWOOD BLVD STE 102
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-5896
Practice Address - Country:US
Practice Address - Phone:310-392-8636
Practice Address - Fax:310-943-3521
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2024-08-12
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Provider Licenses
StateLicense IDTaxonomies
CA95026464363LG0600X
MARN2345300363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology