NPI | 1871231555 |
---|---|
Former Legal Business Name | ELEVATED PRIMARY CARE |
Former Legal Business Name | LE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JOSHUA H LE Physician 206-395-4748 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
261Q00000X Clinic/Center | |
Enumeration Date | 2022-05-23 |
Last Update Date | 2023-12-01 |