Individual
MICHAEL QUOC LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 S FAIR OAKS AVE, SUITE 215, PASADENA, CA 91105-2613
(626) 793-4139
(626) 304-8082
Mailing address
3452 E FOOTHILL BLVD, SUITE 130, PASADENA, CA 91107-3142
(626) 793-2885
(626) 793-6262
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G60018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110126918
RAIL ROAD MEDICARE
CA
01
—
G60018
BLUE SHIELD
CA
01
—
P00905546
RAILROAD MEDICARE
CA
Enumeration date
05/01/2006
Last updated
06/26/2015
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