Individual provider · Type 1 NPI
Vivian Le
Gerontology Nurse Practitioner · Fountain Valley, CA
NPI number
1356223408
Active
Practice location
11376 Primrose Ave
Fountain Valley, CA 92708-1751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95034048 (CA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1356223408
Vivian Le's National Provider Identifier is 1356223408, issued on Jul 21, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fountain Valley, CA. The record was last updated on Jul 21, 2025.