Doctor Name: | PENNY YEN LUC |
NPI Number: | 1053328062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 423805/8389 |
Business Practice Address: | 14445 Olive View Dr Olive View Ucla Medical Center Sylmar, CA - 91342 |
Business Phone Number: | 8183643788 |
Business Fax Number: | |
Mailing Address: | 14445 Olive View Dr, SYLMAR |
State: | CA |
Postal Code: | 91342 |
Phone Number: | 8183643788 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 423805/8389 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |