AT JESSICA LUU DPM INC NPI 1043408834

NPI Information

NPI: 1043408834
Provider Name: AT JESSICA LUU DPM INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
15038 IMPERIAL HWY
LA MIRADA, CA
ZIP 90638
Phone: (562) 947-8200
Get Directions

AT JESSICA LUU DPM INC is a foot and ankle surgery podiatrist in La Mirada, CA. AT JESSICA LUU DPM INC NPI is 1043408834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15038 IMPERIAL HWY
LA MIRADA, CA
ZIP 90638-301
Phone: (562) 947-8200

The provider's authorized official is Jessica Luu .
The authorized official title is President and has the following contact phone number (562) 947-8200.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 10/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	E4343	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W17090	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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