LU DA LE (NPI# 1194801175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194801175 |
| Entity Type | Individual |
| Full Name | LU DA LE |
| Credential | D.O. |
| Practice Address |
34800 Bob Wilson Drive San Diego CA 92134 |
| Mailing Address |
2625 Villas Way San Diego CA 92108 |
| Practice Telephone | 6195326400 |
| Mailing Telephone | 7144572848 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20A 9165 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790814945 | Lu Q. Le | Dermatology | 5323 Harry Hines Blvd, Dept. of Dermatology Room, Dallas, TX 75390-9069 | 2007-03-05 |
| Street Address |
34800 BOB WILSON DRIVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730167917 | Charles F Jackson | Audiologist | 34800 Bob Wilson Drive, Naval Medical Center, San Diego, San Diego, CA 92134-5000 | 2006-01-06 |
| 1801406731 | Calvin Tyler Skinner | Dentist | 34800 Bob Wilson Drive, Building 2, Ground Floor/quality Management Suite, San Diego, CA 92134 | 2020-08-05 |
| 1245714476 | Rebekah Elaine Glennnorris | Social Worker | 34800 Bob Wilson Drive, Bldg 1, Floor 2, Suite 208, San Diego, CA 92134 | 2018-09-24 |
| 1942799440 | Jodi Watson | Midwife | 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2018-05-09 |
| 1821585332 | Dejanae Hairston | Military Health Care Provider | 34800 Bob Wilson Drive, San Diego, CA 92134 | 2018-04-19 |
| 1124577911 | Lisa Tang | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, Naval Medical Ctr, San Diego, CA 92134-5000 | 2016-09-22 |
| 1891241451 | Sterling Thompson | Dentist | 34800 Bob Wilson Drive, Naval Medical Ctr, San Diego, CA 92134-5000 | 2016-09-01 |
| 1851845242 | Oanh Pham Hutson | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, Naval Medical Center San Diego, San Diego, CA 92134-5000 | 2016-08-15 |
| 1033560354 | Andrew James Medenbach | Military Health Care Provider | 34800 Bob Wilson Drive, Naval Med Center, San Diego, CA 92134 | 2016-06-28 |
| 1104277953 | Jaydeep Raval | Military Health Care Provider | 34800 Bob Wilson Drive, Al Medical Center, San Diego, CA 92134-5000 | 2016-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1629626981 | Rejuvenate Medical Group Inc | General Practice | 5030 Camino De La Siesta Ste 404, San Diego, CA 92108-3120 | 2019-08-29 |
| 1114484573 | Revive Medical of San Diego | General Practice | 7220 Trade St Ste 209, San Diego, CA 92121-2326 | 2019-02-21 |
| 1144790643 | Elaine Esguerra | General Practice | 751 Kentmere Ter, San Diego, CA 92154-8415 | 2018-11-28 |
| 1609350909 | Cristina Lavenant Gordon | General Practice | 10912 Derrydown Way, San Diego, CA 92130-2897 | 2018-09-21 |
| 1144723289 | Andrew T Bagby | General Practice | 601 Mc Cain Blvd, San Diego, CA 92135 | 2018-03-15 |
| 1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
| 1578941597 | Zenus Joe Wilson | General Practice | 2446 Trident Way Bldg 637, San Diego, CA 92155-5494 | 2015-05-11 |
| 1457761090 | David Lilienfeld | General Practice | 13412 Pantera Rd, San Diego, CA 92130-1022 | 2014-05-05 |
| 1972920882 | Genevieve Dowling | General Practice | 5575 Ruffin Rd # 100us, San Diego, CA 92123-1380 | 2014-03-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.