Individual
DR. BUULOC TAN LUU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3470
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3470
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A10093
CA
Other
Enumeration date
11/29/2009
Last updated
11/03/2021
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