Provider Demographics
NPI:1083306930
Name:LUO, HUA
Entity Type:Individual
Prefix:MS
First Name:HUA
Middle Name:
Last Name:LUO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ELAINE
Other - Middle Name:
Other - Last Name:LUO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5248 CLAREMONT AVE APT 26
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1090
Mailing Address - Country:US
Mailing Address - Phone:949-372-8323
Mailing Address - Fax:
Practice Address - Street 1:2121 BERKELEY WAY
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-2502
Practice Address - Country:US
Practice Address - Phone:949-372-8323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool