Johnny Luu, MD | |
1190 Baker St, 100, Costa Mesa, CA 92626-4108 | |
(714) 668-2540 | |
(714) 668-2510 |
Full Name | Johnny Luu |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1190 Baker St, Costa Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508919929 | NPI | - | NPPES |
A90179 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A90179 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Johnny Luu, MD 1190 Baker St, P.o Box 100, Costa Mesa, CA 92626-4108 Ph: (714) 668-2540 | Johnny Luu, MD 1190 Baker St, 100, Costa Mesa, CA 92626-4108 Ph: (714) 668-2540 |
Jennifer Rodriguez, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1190 Baker St, 103, Costa Mesa, CA 92626 Phone: 714-668-2525 Fax: 714-668-2530 | |
Narges Jelodari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1665 Scenic Ave, Ste 100 Talbert Medical Group, Costa Mesa, CA 92626 Phone: 714-964-6229 | |
Peri Gunay, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1190 Baker St Ste 103, Costa Mesa, CA 92626 Phone: 714-668-2525 Fax: 714-668-2530 | |
Prashanti Alekal, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1190 Baker St, 100, Costa Mesa, CA 92626 Phone: 714-668-2540 Fax: 714-668-2510 | |
Dr. Frances G. Reis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1665 Scenic Ave. Suite #100, Costa Mesa, CA 92626 Phone: 714-436-4750 | |
Dr. Malinda Lin, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1901 Newport Blvd Ste 235, Costa Mesa, CA 92627 Phone: 949-698-8215 | |
Jeffrey R Taylor, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1190 W. Baker Street Ste 103, Costa Mesa, CA 92626 Phone: 714-668-2525 Fax: 714-668-2530 |