Healthcare Provider Details

I. General information

NPI: 1871694752
Provider Name (Legal Business Name): FRANK F. LUO, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 LAUREL ST #D
PASADENA CA
91103-2329
US

IV. Provider business mailing address

1180 LAUREL ST #D
PASADENA CA
91103-2329
US

V. Phone/Fax

Practice location:
  • Phone: 626-589-8525
  • Fax: 626-604-9113
Mailing address:
  • Phone: 626-589-8525
  • Fax: 626-604-9113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License NumberCLF335141
License Number StateCA

VIII. Authorized Official

Name: DR. FRANK FENG LUO
Title or Position: PRESENT/DIRECTOR
Credential: M.D.
Phone: 626-589-8525