Individual ProviderLuan Canh LeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2501 Harbor Blvd, Costa Mesa, CA 92626-6143(714) 957-5000(916) 654-2431PECOS EnrollmentBased on the most recent information from CMS, provider Luan Canh Le does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:04 PM.Profile DetailsProvider ID1144272923Provider TypeIndividualFull NameLe, Luan CanhTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date5/17/2006Last Updated3/7/2023Contact InformationPractice LocationPractice Address2501 Harbor Blvd, Costa Mesa, CA 92626-6143Phone(714) 957-5000FaxUnlisted FaxMailing LocationMailing Address1600 9th St, Room 205 Mailstop 2 3, Sacramento, CA 95814-6414Phone(916) 654-2431Fax(916) 654-3186Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseA051296California