Luu, Bao Quoc
Luu, Bao Quoc is an individual health care provider with primary practice located at 9898 Genesee Ave , La Jolla CA 92037-1205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Luu, Bao Quoc can be contacted via phone (858) 824-5400.Contact Information
Primary practice address
9898 Genesee Ave
La Jolla CA 92037-1205
Phone: (858) 824-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A60328 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | A60328 | California |
Profile Details
| NPI number | 1871588020 |
|---|---|
| LBN Legal business name | Luu, Bao Quoc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Oct 26th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871588020 | NPPES |
| California | MEDICAID | 00A603280 |
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