Individual
EDGAR A. LUEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2660 E MAIN ST STE 201, VENTURA, CA 93003-2773
(805) 643-9999
Mailing address
2660 E MAIN ST STE 201, VENTURA, CA 93003-2773
(805) 643-9999
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A52915
CA
207YP0228X
Pediatric Otolaryngology Physician
A52915
CA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
A52915
CA
207YS0123X
Facial Plastic Surgery Physician
A52915
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
A52915
CA
207YX0602X
Otolaryngic Allergy Physician
A52915
CA
207YX0901X
Otology & Neurotology Physician
A52915
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
A52915
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A529150
MEDICAL
CA
Enumeration date
11/13/2006
Last updated
08/19/2008
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