Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A94497 | CA |
N | 111NI0900X | Internist | A94497 | CA |
Y | 207RN0300X | Nephrologist | A94497 | CA |
NPI | 1043403066 |
---|---|
Provider Name | Dr. Jiann-Gang Frank Luo |
First Address | San Jose, CA 95128-2613 |
Second Address | San Jose, CA 95128-2613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2007 |
Last Update Date | 29/11/2010 |