| Than Luu, M.d., Inc. | |
|
709 N Hill St Ste 18 Los Angeles CA 90012-2352 | |
| (213) 687-0888 | |
| Not Available |
| Full Name | Than Luu, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 709 N Hill St Ste 18, Los Angeles, California |
| Authorized Official Name and Position | Than Luu (CEO) |
| Authorized Official Contact | 2136870888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Than Luu, M.d., Inc. 709 N Hill St Ste 18 Los Angeles CA 90012-2352 Ph: (213) 687-0888 | Than Luu, M.d., Inc. 709 N Hill St Ste 18 Los Angeles CA 90012-2352 Ph: (213) 687-0888 |
| NPI Number | 1467805739 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 05/02/2017 |
| Medicare PECOS PAC ID | 6204108012 |
|---|---|
| Medicare Enrollment ID | O20170814002616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467805739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A101119 (California) | Primary |
| Provider Name | Than A Luu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750548640 PECOS PAC ID: 3375604101 Enrollment ID: I20081211000253 |
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