Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL LE DO PROFESSIONAL MEDICAL CORPORATION
NPI 1366398620
Internal Medicine in Upland, CA

Q: What is Michael Le Do Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 09, 2026

510 N 13TH AVE STE 306, UPLAND, CA 91786(213) 817-4551 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Mar 9, 2026 (2 updates tracked since 2026).

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About Michael Le Do Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL LE DO PROFESSIONAL MEDICAL CORPORATION (NPI 1366398620), doing business as Ethos Medical Wellness Clinic, is a healthcare organization registered as an internal medicine in Upland, California and active in the NPI registry since March 2026. The organization lists Mariam Hanna, Owner, as its authorized official.

NPPES Registry Identity

NPI1366398620

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMICHAEL LE DO PROFESSIONAL MEDICAL CORPORATION

Location Address510 N 13TH AVE STE 306Upland, CA 91786-4973

Mailing Address510 N 13th Ave Ste 306Upland, CA 91786-4973 · (213) 817-4551

Phone(213) 817-4551

Organization SubpartNo

Authorized OfficialMariam HannaOwner · (213) 817-4551

Enumeration DateMarch 9, 2026

Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration

NPPES CertifiedOctober 5, 2026

✔ NPI 1366398620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

510 N 13TH AVE STE 306, Upland, CA 91786

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Other Names 1

Doing Business AsEthos Medical Wellness Clinic

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Le Do Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Michael Le Do Professional Medical Corporation, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Mariam Hanna, MD

Internal Medicine

NPI 1720585730

10800 MAGNOLIA AVE
Riverside, CA 92505

(951) 353-2000

✔ PECOS✔ Accepts Medicare16 mi

Michael Le, DO

Internal Medicine

NPI 1609220284

2500 METROHEALTH DR
Cleveland, OH 44109

(216) 778-4486

✔ PECOS✔ Accepts Medicare2,016 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Le Do Professional Medical Corporation's NPI number?

The NPI number for Michael Le Do Professional Medical Corporation is 1366398620. It was assigned to this organization in the NPPES registry on March 9, 2026. The provider is doing business as Ethos Medical Wellness Clinic.

Where is Michael Le Do Professional Medical Corporation located?

Michael Le Do Professional Medical Corporation is located at 510 N 13th Ave Ste 306, Upland, CA 91786. The listed phone number is (213) 817-4551.

What is Michael Le Do Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Le Do Professional Medical Corporation enrolled in Medicare?

Yes. Michael Le Do Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael Le Do Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Michael Le Do Professional Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael Le Do Professional Medical Corporation was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.