Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A7353 | CA |
Y | 207Q00000X | Family Doctor | 20A7353 | CA |
NPI | 1104915198 |
---|---|
Provider Name | James Richard Luu |
First Address | San Jose, CA 95116-1611 |
Second Address | San Jose, CA 95116-1611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 02/02/2016 |