Provider Demographics
NPI:1235930272
Name:LE, TRI MINH (DC)
Entity type:Individual
Prefix:
First Name:TRI
Middle Name:MINH
Last Name:LE
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:TRI
Other - Middle Name:MINH
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2156 THE ALAMEDA STE A
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1144
Mailing Address - Country:US
Mailing Address - Phone:408-694-8575
Mailing Address - Fax:
Practice Address - Street 1:2156 THE ALAMEDA STE A
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1144
Practice Address - Country:US
Practice Address - Phone:408-694-8575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC37020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor