Healthcare Provider Details

I. General information

NPI: 1598110066
Provider Name (Legal Business Name): MEDVANTAGE ANESTHESIA CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2016
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N GARFIELD AVE
MONTEREY PARK CA
91754-1202
US

IV. Provider business mailing address

6100 WATERFORD DISTRICT DR STE 450
MIAMI FL
33126-4692
US

V. Phone/Fax

Practice location:
  • Phone: 626-573-2222
  • Fax:
Mailing address:
  • Phone: 888-787-1598
  • Fax: 714-795-6829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: DR. HAI D LUU
Title or Position: PRESIDENT
Credential: DO
Phone: 714-797-0585