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NPI Code Detail

MEDICARE: MAY HOAI LUONG

MEDICARE:   MAY HOAI LUONG
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
1122300000XDentist108038CA

General Provider Information

NPI Number : 1871215210
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAY HOAI LUONG
Provider Business Mailing Address
First Line : 11650 BINGHAM ST
Second Line :
City : CERRITOS
State : CA
Zip : 90703-6739
Country : US
Telephone Number : 562-607-5490
Fax Number :
Provider Business Practice Location Address
First Line : 4180 WOODRUFF AVE
Second Line :
City : LAKEWOOD
State : CA
Zip : 90713-3144
Country : US
Telephone Number : 562-938-9514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2022
Last Update Date : 09/13/2022

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