Active NPI
Daniel Q Le, a Professional Medical Corporation
- Interventional Pain Medicine Physician
- Newport Beach, CA
National Provider Identifier
1619189636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- G71070
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G710701 | Medicaid | CA | |
| 00G710700 | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI 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.