MEDICARE: DR. THUAN MOC LUU D.P.M., D.C.

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	111N00000X	Chiropractor	DC26437	CA
2	213E00000X	Podiatrist	E3961	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	DC26437	OTHER	CA	CHIROPRACTIC

General Provider Information

NPI Number	:	1821094970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THUAN MOC LUU D.P.M., D.C.

Provider Business Mailing Address
First Line	:	2114 SENTER RD
Second Line	:	STE 18
City	:	SAN JOSE
State	:	CA
Zip	:	95112-2608
Country	:	US
Telephone Number	:	408-286-1234
Fax Number	:

Provider Business Practice Location Address
First Line	:	2114 SENTER RD
Second Line	:	STE 18
City	:	SAN JOSE
State	:	CA
Zip	:	95112-2608
Country	:	US
Telephone Number	:	408-286-1234
Fax Number	:

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	09/11/2025

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Directions to “ DR. THUAN MOC LUU D.P.M., D.C.” Practice Location

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