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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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