Organization Active NPI

Daniel Q Le, a Professional Medical Corporation

  • Interventional Pain Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1619189636
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G71070 Issued in CA
Legal business name
DANIEL Q LE, A PROFESSIONAL MEDICAL CORPORATION
Practice address
17 Corporate Plaza Dr Ste 110
Newport Beach, CA 92660-7925
Phone
(949) 574-5100
Fax
(949) 574-5138
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Daniel Q Le, MD
Title
President
Phone
(818) 550-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X G71070 CA Primary

Addresses

Primary practice location

17 Corporate Plaza Dr Ste 110
Newport Beach, CA 92660-7925

Mailing address

PO Box 53964
Irvine, CA 92619-3964
Phone (818) 550-0900

Other identifiers 2

IdentifierTypeStateIssuer
00G710701MedicaidCA
00G710700OtherCABLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1619189636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53964",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926193964",
            "telephone_number": "818-550-0900",
            "fax_number": "818-550-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CORPORATE PLAZA DR STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607925",
            "telephone_number": "949-574-5100",
            "fax_number": "949-574-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL Q LE, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-550-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G71070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G710701",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G710700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.