Organization Active NPI

L&L Live Well Nursing Professional Corporation

  • Nurse Practitioner
  • Calimesa, CA
National Provider Identifier
1093507139
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
L&L LIVE WELL NURSING PROFESSIONAL CORPORATION
Practice address
1096 Calimesa Blvd Ste 111
Calimesa, CA 92320-1563
Phone
(626) 517-9209
Fax
(626) 538-1089
NPI assigned
May 22, 2025
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Buu-Dien Le, NPNPI 1396139556
Title
Ceo & President
Phone
(626) 517-9209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1096 Calimesa Blvd Ste 111
Calimesa, CA 92320-1563

Mailing address

1096 Calimesa Blvd Ste 111
Calimesa, CA 92320-1563
Phone (626) 517-9209

National Provider Directory

National Provider Directory

Locations

1096 Calimesa Blvd
Ste 111
Calimesa, CA 92320
Phone (626) 517-9209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1093507139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 CALIMESA BLVD STE 111",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201563",
            "telephone_number": "626-517-9209",
            "fax_number": "626-538-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 CALIMESA BLVD STE 111",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201563",
            "telephone_number": "626-517-9209",
            "fax_number": "626-538-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&L LIVE WELL NURSING PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "BUU-DIEN",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "626-517-9209",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calimesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.