Individual
CHENG LUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1106 W GLENOAKS BLVD, GLENDALE, CA 91202-2606
(818) 242-3333
(818) 552-2722
Mailing address
PO BOX 5068, GLENDALE, CA 91221-2068
(818) 242-3333
(323) 564-8578
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
NP95010581
CA
Other
Enumeration date
08/21/2018
Last updated
05/17/2022
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