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Individual

DR. RAN BILL LUO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9500 GILMAN DR., MC 0740, SAN DIEGO, CA 92093
(858) 534-5107
Mailing address
9500 GILMAN DR., MC 0740, SAN DIEGO, CA 92093
(858) 534-5107

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125-058323
IL
208600000X
Surgery Physician
Primary
A135777
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891006920
NPI
Enumeration date
06/23/2010
Last updated
11/18/2021
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