Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | A162642 | CA |
NPI | 1760978795 |
---|---|
Provider Name | Dr. Kimberly Luu |
First Address | San Francisco, CA 94143-2350 |
Second Address | San Francisco, CA 94143-2350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2018 |
Last Update Date | 17/03/2020 |