Le, Jacquelin

Le, Jacquelin is an individual health care provider with primary practice located at 17631 W Bernardo Dr Ste A Suite A, San Diego CA 92127-1135. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Le, Jacquelin can be contacted via phone (858) 487-7900.

Contact Information

Primary practice address
17631 W Bernardo Dr Ste A Suite A San Diego CA 92127-1135
Phone: (858) 487-7900
Fax: (858) 487-1896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10962T California

Profile Details

NPI number 1487610432
LBN Legal business name Le, Jacquelin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487610432 NPPES
California MEDICAID SD0109620

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