Healthcare Provider Details

I. General information

NPI: 1083551584
Provider Name (Legal Business Name): TONY LUU PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5341 E EL JARDIN ST
LONG BEACH CA
90815-4203
US

IV. Provider business mailing address

5341 E EL JARDIN ST
LONG BEACH CA
90815-4203
US

V. Phone/Fax

Practice location:
  • Phone: 626-297-0480
  • Fax:
Mailing address:
  • Phone: 626-297-0480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number74087
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: