Individual ProviderLuan Canh LeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2501 Harbor Blvd, Costa Mesa, CA 92626-6143(714) 957-5000(916) 654-2431PECOS EnrollmentThis provider is enrolled in PECOS as LUAN LE.Based on the most recent information from CMS, provider Luan Canh Le is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 4:18 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