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NPI Code Detail

MEDICARE: DR. VICTOR NHAT-CHIEU LUU M.D.

MEDICARE: DR. VICTOR NHAT-CHIEU LUU M.D.
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
1207Q00000XFamily Medicine PhysicianA048045CA

General Provider Information

NPI Number : 1437172970
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTOR NHAT-CHIEU LUU M.D.
Provider Business Mailing Address
First Line : 1025 W OLYMPIC BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90015-1329
Country : US
Telephone Number : 213-861-5873
Fax Number : 213-861-5863
Provider Business Practice Location Address
First Line : 401 S FAIR OAKS AVE
Second Line :
City : PASADENA
State : CA
Zip : 91105-2603
Country : US
Telephone Number : 626-795-2244
Fax Number : 626-795-5480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 12/03/2021

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