Tien Diem Huynh Luu, FNP | |
520 So. Lafayette Park Place, 3rd Floor, La, CA 90057-5400 | |
(213) 252-2100 | |
(213) 383-3146 |
Full Name | Tien Diem Huynh Luu |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 520 So. Lafayette Park Place, La, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891241006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95021510 (California) | Primary |
Entity Name | Amg A Professional Medical Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558306266 PECOS PAC ID: 9830092279 Enrollment ID: O20040131000300 |
Mailing Address | Practice Location Address |
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Tien Diem Huynh Luu, FNP 520 So. Lafayette Park Place, 3rd Floor, La, CA 90057-5400 Ph: (213) 252-2100 | Tien Diem Huynh Luu, FNP 520 So. Lafayette Park Place, 3rd Floor, La, CA 90057-5400 Ph: (213) 252-2100 |
Ms. Sherrill Anne Washington, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1240 N. Mission Rd (inpatient Tower), 3g 100 Nsy, La, CA 90033 Phone: 323-226-3406 Fax: 323-226-3440 | |
Lacreshia Lynette Hoy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10300 S Compton Ave, La, CA 90002 Phone: 323-568-3023 |