Individual ProviderMisa Nguyen LePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address737 Pearl St Ste 108, La Jolla, CA 92037-5063(858) 456-2114PECOS EnrollmentBased on the most recent information from CMS, provider Misa Nguyen 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 12:57 PM.Profile DetailsProvider ID1144745753Provider TypeIndividualFull NameLe, Misa NguyenCredentialDPTGenderFemaleSole ProprietorYesEnumeration Date8/4/2017Last Updated8/4/2017Contact InformationPractice LocationPractice Address737 Pearl St Ste 108, La Jolla, CA 92037-5063Phone(858) 456-2114FaxUnlisted FaxMailing LocationMailing Address10024 Osgood Way, San Diego, CA 92126-5111PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense293381California