Most Relevant Information
Provider Data
| NPI Number: | 1003043860 |
| Provider Name: | THANH-VI LE NGUYEN O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 13902 |
Most Important Dates
| Enumeration Date: | 06/18/2009 |
| Last Updated: | 04/27/2022 |
Provider Practice Location
79710 HIGHWAY 111 STE 101
LA QUINTA
CA
922536516
Practice Location Phone/Fax
| Phone: | 7603426900 |
| Fax: | 7608415403 |
Provider Mailing Location
79710 HIGHWAY 111
SUITE 101
LA QUINTA
CA
922536516
Provider Mailing Phone/Fax
| Phone: | 7603426900 |
| Fax: |