Provider Demographics
NPI:1861594137
Name:LE, DUNG Q (MD)
Entity type:Individual
Prefix:
First Name:DUNG
Middle Name:Q
Last Name:LE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:36921 COOK ST STE 103
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-6070
Mailing Address - Country:US
Mailing Address - Phone:760-836-3937
Mailing Address - Fax:760-836-1151
Practice Address - Street 1:36921 COOK ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-6070
Practice Address - Country:US
Practice Address - Phone:760-836-3937
Practice Address - Fax:760-836-1151
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2015-03-11
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Provider Licenses
StateLicense IDTaxonomies
CAA79927207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H69442Medicare UPIN