Dr Buuloc Tan Luu, DO | |
400 N Pepper Ave, Colton, CA 92324-1801 | |
(909) 580-3470 | |
Not Available |
Full Name | Dr Buuloc Tan Luu |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 400 N Pepper Ave, Colton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073841201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 20A10093 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Buuloc Tan Luu, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-3470 | Dr Buuloc Tan Luu, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-3470 |
Dr. Bert J. Davidson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6320 Fax: 909-580-6369 | |
Dr. Jasmaine Coleman, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-4145 | |
Dr. Mohammadreza Ghayuri, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3470 Fax: 909-580-3289 | |
Dr. Thuy Duong Mai, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3470 | |
Michelle Mellon, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 | |
Dr. Ramon M Cestero, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, 6th Floor South, Colton, CA 92324 Phone: 909-580-6320 Fax: 909-580-6369 |