Individual
MR. HONG GIA LUU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1122 S ST, FRESNO, CA 93721-1430
(800) 492-4227
Mailing address
3875 W BEECHWOOD AVE, FRESNO, CA 93711-0795
(800) 492-4227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7194960001
MEDICARE PTAN
CA
Enumeration date
07/30/2012
Last updated
06/24/2025
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