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NPI Code Detail

MEDICARE: KAREN LUU PMHNP

MEDICARE: KAREN LUU PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95014746CA

General Provider Information

NPI Number : 1215416102
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN LUU PMHNP
Provider Business Mailing Address
First Line : 18700 MAIN ST STE 108
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92648-1713
Country : US
Telephone Number : 949-424-5224
Fax Number :
Provider Business Practice Location Address
First Line : 11835 W OLYMPIC BLVD STE 815E
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-5056
Country : US
Telephone Number : 323-332-9905
Fax Number : 323-366-3987
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2018
Last Update Date : 08/21/2025

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