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General NPI Number Information
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NPI Number | 1437888427
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Entity Type | Organization
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Legal Business Name | BRANDON LUU OD, INC.
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 810 N AVALON BLVD
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City | WILMINGTON
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State | CA
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Zip | 90744-4502
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Country | US
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Telephone | 310-834-5464
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Fax | 714-229-1994
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Provider Business Mailing Address
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Address Line | 12777 VALLEY VIEW ST STE 111
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City | GARDEN GROVE
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State | CA
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Zip | 92845-2521
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Country | US
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Telephone | 714-767-4665
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRANDON LUU
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Credential | OPTOMETRIST
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Telephone | 310-834-5464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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