MEDICARE: NGHI 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
1	208D00000X	General Practice Physician	C50832	CA

General Provider Information

NPI Number	:	1598795114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NGHI LUU M.D.

Provider Business Mailing Address
First Line	:	160 E VIRGINIA ST STE 280
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95112-5817
Country	:	US
Telephone Number	:	408-457-7100
Fax Number	:	408-294-6361

Provider Business Practice Location Address
First Line	:	725 E SANTA CLARA ST STE 103
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95112-1936
Country	:	US
Telephone Number	:	669-444-5466
Fax Number	:	408-294-6361

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	06/13/2023

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