NPI Code Detail JSON Logo

1043964232 NPI number — PHOEBE NHI LUONG OD

NPI Number: 1043964232
Health Care Provider/Practitioner: PHOEBE NHI LUONG OD

Information about “1043964232” NPI (PHOEBE NHI LUONG OD) exists in 1043964232 in HTML format HTML  |  1043964232 in plain Text format TXT  |  1043964232 in PDF (Portable Document Format) PDF  |  1043964232 in an XML format XML  formats.

NPI Number : 1043964232 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043964232",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LUONG",
    "FirstName": "PHOEBE",
    "MiddleName": "NHI",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20 TIDEWATER CV",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BUENA PARK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90621-1661",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-213-7659",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9515 W CAMELBACK RD STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85037-1365",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "623-937-1655",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/08/2022",
    "LastUpdateDate": "09/26/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "34833",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "002539",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.