Individual
DR. PAMELA CHIU-WAN LUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3617 AVALON BLVD STE 200, LOS ANGELES, CA 90011-5601
(213) 935-8566
(213) 936-8576
Mailing address
560 W MAIN ST STE C194, ALHAMBRA, CA 91801-3374
(626) 863-3741
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
2013005683
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A110317
MEDICAL LICENSE
CA
01
—
CB225343
MEDICARE PTAN
CA
Enumeration date
02/04/2010
Last updated
08/31/2021
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