MEDICARE: ALYSSA 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
1	103TS0200X	School Psychologist	3618	CA

General Provider Information

NPI Number	:	1669352787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA LUU

Provider Business Mailing Address
First Line	:	189 DEL AMIGO RD
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-2315
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	189 DEL AMIGO RD
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-2315
Country	:	US
Telephone Number	:	925-855-2600
Fax Number	:

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

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	02/25/2026

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Directions to “ ALYSSA LUU ” Practice Location

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