Linda Ly Luong PA-C

NPI 1710392196 - Physician Assistant - 363A00000X

NPI Details
NPI 1710392196
Gender Female
Enumeration Date 06/24/2014
Last Updated 06/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
13402 HERITAGE WAY APT 836
TUSTIN CA, 92782-9130, US
Phone (626) 826-2917
Fax
Business Location
13402 HERITAGE WAY APT 836
TUSTIN CA, 92782-9130, US
Phone (626) 826-2917
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number 51662
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According to our database, Linda Ly Luong PA-C NPI is 1710392196, taxonomy code is 363A00000X and license number is 51662, license state is located at California. Linda Ly Luong PA-C physically located at 13402 Heritage Way Apt 836, Tustin CA, 92782-9130. NPI Number Linda Ly Luong PA-C has the Individual type.

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1710392196 NPI number is provided on an as is basis without warranty of any kind. 1710392196 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Ly Luong PA-C are for informational purposes only.