Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | PO1918 | FL |
Y | 213ES0000X | Sports Medicine | PO1918 | FL |
NPI | 1538201249 |
---|---|
Provider Name | Dr. Louis Louk JR. |
First Address | San Diego, CA 92131-2291 |
Second Address | San Diego, CA 92134-1098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 08/07/2007 |