Tin Trung Le

Assisted Living Facility in Fountain Valley, CA. Individual provider (NPI-1).

NPI number1265054589

StatusActive

Last updated in NPPESMay 8, 2020

Details

NPI: 1265054589
Entity type: Individual (NPI-1)
Name: Tin Trung Le
Sex: Male
Sole proprietor: Yes
Enumeration date: May 8, 2020
Certification date: May 8, 2020
Last updated: May 8, 2020

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
310400000X	Assisted Living Facility	306005623	CA	Yes

Practice location

18674 San Felipe St
Fountain Valley, CA 92708-7121

Phone 714-600-7083 · Fax 714-242-1599

Mailing address

18674 San Felipe St
Fountain Valley, CA 92708-7121

Phone 714-600-7083 · Fax 714-242-1599

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Assisted Living Facility providers in Fountain Valley, CA

All 24 Assisted Living Facility providers in Fountain Valley · All 3,097 providers in Fountain Valley

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