Look up the most recent NPI and PECOS records

Alyssa Khanh-Van Le

Internal Medicine

Allopathic & Osteopathic Physicians

26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691-6384

PECOS Enrollment

This provider is enrolled in PECOS as ALYSSA LE.

Based on the most recent information from CMS, provider Alyssa Khanh-Van Le is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1245461722
Provider Type
Individual
Full Name
Le, Alyssa Khanh-Van
Title
Dr.
Credential
M.D

Gender
Female
Sole Proprietor
No
Enumeration Date
8/2/2009
Last Updated
11/5/2021

Contact Information

Practice Location

26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691-6384

(949) 364-6000

(949) 364-1204

Mailing Location

26522 La Alameda, Suite 120, Mission Viejo, CA 92691-6330

(949) 282-1671

(949) 367-0518

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A103300 California

Alyssa Khanh-Van Le

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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