Le, Thao Ngoc

Le, Thao Ngoc is an individual health care provider with primary practice located at 14544 7Th St , Victorville CA 92395-4214. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Le, Thao Ngoc can be contacted via phone (760) 245-1025.

Contact Information

Primary practice address
14544 7Th St Victorville CA 92395-4214
Phone: (760) 245-1025
Fax: (877) 469-8906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20406 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP20406 California

Profile Details

NPI number 1467741298
LBN Legal business name Le, Thao Ngoc
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2011
Last updated Dec 13th, 2021 - about 3 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 1467741298 NPPES
California MEDICAID EFF:10/15/13-ADELANT
California Other P01288528/DU5182
California MEDICAID EFF:10/21/13 VICTORV

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