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General NPI Number Information
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NPI Number | 1902695638
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Entity Type | Organization
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Legal Business Name | JUSTIN A LUU, DPM INC.
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 14360 BROOKHURST ST
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4608
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Country | US
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Telephone | 714-531-9682
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Fax |
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Provider Business Mailing Address
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Address Line | 16364 PINTO RIDGE CT
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City | SAN DIEGO
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State | CA
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Zip | 92127-3429
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Country | US
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Telephone | 858-735-0861
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Fax |
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Authorized Official
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Title or Position | OFFICER/DIRECTOR
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Name | JUSTIN ANH-KHOA LUU
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Credential | DPM
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Telephone | 858-735-0861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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