Lizzie Le

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NP10866 Issued in CA

Practice address

11239 Camino Ruiz Ste a
San Diego, CA 92126-4601

Phone

(858) 414-3615

NPI assigned

Jul 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legacy Care Adhc Corporation

  • Adult Day Care Clinic/Center
  • San Diego, CA
  • NPI 1164298337
  NPD Authorized official

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1659059244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11239 CAMINO RUIZ STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264601",
            "telephone_number": "858-414-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11239 CAMINO RUIZ STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264601",
            "telephone_number": "858-414-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "LIZZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP10866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kateline Thao Le
• Kevin Le
• Khang Minh Le
• Khanh Le
• Lin Le
• Lu Da Le, D.O.
• Madison Le, NP
• Mary Jean Le, RN
• Melinda Le
• Mien Thuy Le

• Primary Care Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.