Provider Demographics
NPI:1144282401
Name:LE, HUONG T (MD)
Entity type:Individual
Prefix:DR
First Name:HUONG
Middle Name:T
Last Name:LE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MONIQUE
Other - Middle Name:
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:210 N TUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3807
Mailing Address - Country:US
Mailing Address - Phone:714-347-1010
Mailing Address - Fax:714-347-1082
Practice Address - Street 1:8200 FIRESTONE BLVD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4810
Practice Address - Country:US
Practice Address - Phone:562-869-0500
Practice Address - Fax:562-869-2309
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG63906207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G639060Medicaid
CAP00007464Medicare PIN
CAE58424Medicare UPIN
CABS980YMedicare PIN
CABS980XMedicare PIN
CA00G639060Medicaid