Organization Active NPI

Nina Le, D.D.S., Inc.

  • Pediatric Dentistry
  • Redondo Beach, CA
National Provider Identifier
1154539468
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
49131 Issued in CA
Legal business name
NINA LE, D.D.S., INC.
Practice address
1706 S Elena Ave
Ste. C
Redondo Beach, CA 90277-5715
Phone
(310) 373-0007
Fax
(310) 373-0014
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Nina Le, D.D.S.
Title
Pres.
Phone
(310) 373-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 49131 CA Primary

Addresses

Primary practice location

1706 S Elena Ave
Ste. C
Redondo Beach, CA 90277-5715

Mailing address

1706 S Elena Ave
Ste. C
Redondo Beach, CA 90277-5715
Phone (310) 373-0007

National Provider Directory

National Provider Directory

Locations

1706 S Elena Ave
Ste C
Redondo Beach, CA 90277
Phone (310) 373-0007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1154539468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 S ELENA AVE",
            "address_2": "STE. C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775715",
            "telephone_number": "310-373-0007",
            "fax_number": "310-373-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 S ELENA AVE",
            "address_2": "STE. C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775715",
            "telephone_number": "310-373-0007",
            "fax_number": "310-373-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA LE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "310-373-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "49131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.