Organization Active NPI

Dean Albert Le MD, Inc

  • Neurology Physician
  • Laguna Hills, CA
National Provider Identifier
1164586764
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G87113 Issued in CA
Legal business name
DEAN ALBERT LE MD, INC
Practice address
23961 Calle de la Magdalena
Suite 317
Laguna Hills, CA 92653-3616
Phone
(949) 837-1133
Fax
(949) 830-1154
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Peg Horey
Title
Office Manager
Phone
(949) 837-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X G87113 CA Primary

Addresses

Primary practice location

23961 Calle de la Magdalena
Suite 317
Laguna Hills, CA 92653-3616

Mailing address

23961 Calle de la Magdalena
Suite 317
Laguna Hills, CA 92653-3616
Phone (949) 837-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070815000764 CA Part B Supplier - Clinic/Group Practice 4789776154 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Forest, CA

National Provider Directory

National Provider Directory

Locations

23591 El Toro Rd
Ste 280
Lake Forest, CA 92630
Phone (949) 328-9196

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1164586764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "SUITE 317",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-837-1133",
            "fax_number": "949-830-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "SUITE 317",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-837-1133",
            "fax_number": "949-830-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN ALBERT LE MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "HOREY",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-837-1133"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G87113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.