Mr Ricky Le Luu, MD | |
407 W Imperial Hwy, Suite 105, Brea, CA 92821-4832 | |
(562) 365-3540 | |
(714) 990-2754 |
Full Name | Mr Ricky Le Luu |
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Gender | Male |
Speciality | Pediatrics |
Location | 407 W Imperial Hwy, Brea, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821266966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A105345 (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 |
Entity Name | Southern California Permanente Medical Group |
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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 |
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Mr Ricky Le Luu, MD 407 W Imperial Hwy, Suite 105, Brea, CA 92821-4832 Ph: (562) 365-3540 | Mr Ricky Le Luu, MD 407 W Imperial Hwy, Suite 105, Brea, CA 92821-4832 Ph: (562) 365-3540 |
Dr. Nancy C Chung, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 407 W Imperial Hwy, H-171, Brea, CA 92821 Phone: 562-365-3540 Fax: 714-990-2754 | |
Ms. Amina Ramadan Larbah, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-449-6900 | |
Dr. Namrata Ahuja, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 407 W Imperial Hwy, H-171, Brea, CA 92821 Phone: 562-365-3540 | |
Dr. Wenhsiung Luke Huang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 W Central Ave, Suite 119, Brea, CA 92821 Phone: 714-990-0375 Fax: 714-990-0305 | |
Aeri Kang, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-449-6900 Fax: 714-626-2682 | |
Dr. Jade-ming Jeng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 407 W Imperial Hwy, H-171, Brea, CA 92821 Phone: 562-365-3540 Fax: 714-990-2754 |