Provider Demographics
NPI:1346582285
Name:LUU Q. DOAN, MD, INC.
Entity Type:Organization
Organization Name:LUU Q. DOAN, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LUU
Authorized Official - Middle Name:
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-500-0050
Mailing Address - Street 1:18819 DELAWARE ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1907
Mailing Address - Country:US
Mailing Address - Phone:714-500-0050
Mailing Address - Fax:714-500-0051
Practice Address - Street 1:18819 DELAWARE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1907
Practice Address - Country:US
Practice Address - Phone:714-500-0050
Practice Address - Fax:714-500-0051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82148332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site