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NPI Code Detail

MEDICARE: NGUYEN-HUONG D LUU

MEDICARE:   NGUYEN-HUONG D LUU
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
1183500000XPharmacistRPH53204CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
153204OTHERCABOARD OF PHARMACY

General Provider Information

NPI Number : 1336037910
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGUYEN-HUONG D LUU
Provider Business Mailing Address
First Line : 2077 HARBOR BLVD STE 100
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-9384
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2077 HARBOR BLVD STE 100
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-9384
Country : US
Telephone Number : 949-740-7117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2025
Last Update Date : 07/11/2025

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Directions to “ NGUYEN-HUONG D LUU ” Practice Location

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