Individual
DR. FABRIZIO LUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST STE 2100, LOMA LINDA, CA 92354
(909) 558-2822
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-4701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
SFP33
CA
2086X0206X
Surgical Oncology Physician
Primary
SFP33
CA
208C00000X
Colon & Rectal Surgery Physician
SFP33
CA
Other
Enumeration date
09/23/2016
Last updated
06/22/2018
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