Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mimi Quyen Thai Thuc Le, MD

Individual provider Interventional Cardiology Physician · NPI 1124070420

Dr. Mimi Quyen Thai Thuc Le, MD is an Internal Medicine in Riverside, California. Graduated from Pennsylvania State University College of Medicine in 1999, 27 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Trained at
Pennsylvania State University College of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone: (866) 984-7483
Fax: (951) 353-5073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence A88869 (CA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence A88869 (CA)

Record details

NPI number1124070420
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESDecember 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL RADIOLOGY, PERIPHERAL VASCULAR DISEASE
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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