| NPI | 1417414194 |
|---|---|
| Other Name | ANTHONY W. LE A PROFESSIONAL CORP |
| Entity Type | Organization |
| Authorized Contact | ANTHONY WATANA LE Owner 805-483-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |