Most Relevant Information
Provider Data
| NPI Number: | 1003424664 |
| Provider Name: | PHUONG LE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/20/2020 |
| Last Updated: | 07/20/2020 |
Provider Practice Location
5312 BOLSA AVE STE 105
HUNTINGTON BEACH
CA
926491060
Practice Location Phone/Fax
| Phone: | 7149652324 |
| Fax: |
Provider Mailing Location
1055 E COLORADO BLVD STE 560
PASADENA
CA
911062380
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |