MEDICARE: MS. HUA LUO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1083306930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HUA LUO

Provider Business Mailing Address
First Line	:	5248 CLAREMONT AVE APT 26
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94618-1090
Country	:	US
Telephone Number	:	949-372-8323
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 BERKELEY WAY
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94720-2502
Country	:	US
Telephone Number	:	949-372-8323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	05/22/2023

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Directions to “ MS. HUA LUO ” Practice Location

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