Provider Demographics
NPI:1447460050
Name:LE, JOAN T (MD)
Entity type:Individual
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First Name:JOAN
Middle Name:T
Last Name:LE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3020 CHILDRENS WAY
Mailing Address - Street 2:MC5003
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4223
Mailing Address - Country:US
Mailing Address - Phone:858-309-6300
Mailing Address - Fax:858-309-6301
Practice Address - Street 1:3030 CHILDREN'S WAY
Practice Address - Street 2:STE 300
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4228
Practice Address - Country:US
Practice Address - Phone:858-966-8974
Practice Address - Fax:858-966-6721
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2013-11-13
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Provider Licenses
StateLicense IDTaxonomies
CAA99391208100000X, 2081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine