Active NPI
L&L Live Well Nursing Professional Corporation
- Nurse Practitioner
- Calimesa, CA
National Provider Identifier
1093507139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Buu-Dien Le, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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 DirectoryLocations
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.
-
- Nurse Practitioner
- Calimesa, CA
- NPI 1396139556
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.