Provider Demographics
NPI:1447492657
Name:LE, VANDAI XUAN (MD)
Entity type:Individual
Prefix:DR
First Name:VANDAI
Middle Name:XUAN
Last Name:LE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2618 SAN MIGUEL DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5437
Mailing Address - Country:US
Mailing Address - Phone:949-877-6327
Mailing Address - Fax:
Practice Address - Street 1:3300 IRVINE AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-3109
Practice Address - Country:US
Practice Address - Phone:949-877-6327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1254272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry