Organization Name: | THUY DUC LUU MD INC |
NPI Number: | 1245289198 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THUY DUC LUU (PRESIDENT PHYSICIAN) |
Mailing Address: | 9191 Bolsa Ave Ste 215 216 Westminster |
State: | CA US |
Postal Code: | 926835564 |
Phone Number: | 7148973300 |
Fax Number: | 7148971653 |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A33349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |