# AT JESSICA LUU DPM INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043408834
- **Authorized official:** JESSICA LUU DPM (PRESIDENT)
- **Authorized official phone:** (562) 947-8200

## Contact information

- **Practice address:** 15038 IMPERIAL HWY, LA MIRADA, CA 90638-1301
- **Practice address phone:** (562) 947-8200
- **Mailing address:** PO BOX 50432, IRVINE, CA 92619-0432
- **Mailing address phone:** (562) 947-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4343 | CA | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 10/05/2007