Organization Name: | ANNE LUHAN MD INC |
NPI Number: | 1417200783 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNE LUHAN (OWNER) |
Mailing Address: | 34052 La Plz Suite 102 Dana Point |
State: | CA US |
Postal Code: | 926292587 |
Phone Number: | 9493884800 |
Fax Number: | 9494818399 |
NPI Enumeration Date: | 10/23/2012 |
NPI Last Update Date: | 06/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A104117 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |