Organization Active NPI

Khoa D Le

  • Internal Medicine Physician
  • N Las Vegas, NV
National Provider Identifier
1679750996
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1024 Issued in NV
Legal business name
KHOA D LE
Practice address
2031 McDaniel St
Suite # 120
N Las Vegas, NV 89030-6303
Phone
(702) 868-7777
Fax
(702) 260-0333
NPI assigned
Jan 29, 2008
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Khoa Le, DO
Title
Sole Proprietor
Phone
(702) 545-5612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 1024 NV Primary

Addresses

Primary practice location

2031 McDaniel St
Suite # 120
N Las Vegas, NV 89030-6303

Mailing address

9465 Wakashan Ave
Las Vegas, NV 89149-0502
Phone (702) 545-5612

National Provider Directory

National Provider Directory

Locations

7575 W Washington Ave
Las Vegas, NV 89128

7575 W Washington Ave
#127156
Las Vegas, NV 89128

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1679750996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9465 WAKASHAN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490502",
            "telephone_number": "702-545-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 MCDANIEL ST",
            "address_2": "SUITE # 120",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306303",
            "telephone_number": "702-868-7777",
            "fax_number": "702-260-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOA D LE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KHOA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "702-545-5612",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.