Active NPI
Hung Le, M.D
- Oral and Maxillofacial Surgery (Dentist)
- Anaheim, CA
National Provider Identifier
1487980819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 54007
- Practice address
- 408 S Beach Blvd
Suite 107
Anaheim, CA 92804-1853 - Phone
- (714) 220-0964
- NPI assigned
- Oct 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | A113863 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 54007 | CA | Primary |
Addresses
Primary practice location
408 S Beach Blvd
Suite 107
Anaheim, CA 92804-1853
Mailing address
408 S Beach Blvd
Suite 107
Anaheim, CA 92804-1853
Phone (714) 220-0964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160616002501 | CA | Order and Referring Only - Maxillofacial Surgery | 2264723501 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113863 | CA | MD | Social Worker |
| 54007 | CA | MD | Pharmacist |
| A113863 | CA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1487980819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 S BEACH BLVD",
"address_2": "SUITE 107",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041853",
"telephone_number": "714-220-0964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 S BEACH BLVD",
"address_2": "SUITE 107",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041853",
"telephone_number": "714-220-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "HUNG",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-20",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "CA",
"license": "A113863",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "54007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.