| Loi Luu, M.d., Inc. | |
|
14501 Magnolia St Ste 108 Westminster CA 92683-1307 | |
| (714) 799-7731 | |
| (714) 799-7751 |
| Full Name | Loi Luu, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 14501 Magnolia St Ste 108, Westminster, California |
| Authorized Official Name and Position | Loi Luu (PRESIDENT) |
| Authorized Official Contact | 7147997731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loi Luu, M.d., Inc. 14501 Magnolia St Ste 108 Westminster CA 92683-1307 Ph: (714) 799-7731 | Loi Luu, M.d., Inc. 14501 Magnolia St Ste 108 Westminster CA 92683-1307 Ph: (714) 799-7731 |
| NPI Number | 1326356106 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 06/05/2012 |
| Medicare PECOS PAC ID | 7214190966 |
|---|---|
| Medicare Enrollment ID | O20120517000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326356106 | NPI | - | NPPES |
| 00A629470 | Medicaid | CA | |
| GB046A | Other | CA | MEDICARE PTAN (CORPORATION) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A56092 (California) | Primary |
| Provider Name | Loi Luu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912961913 PECOS PAC ID: 3577726223 Enrollment ID: I20120517000097 |
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