Provider Demographics
NPI:1417961889
Name:LUH, HENRY HUNG-YUAN (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:HUNG-YUAN
Last Name:LUH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 NORTH GARFIELD AVE
Mailing Address - Street 2:SUITE #106
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754
Mailing Address - Country:US
Mailing Address - Phone:626-571-5955
Mailing Address - Fax:626-571-6233
Practice Address - Street 1:500 NORTH GARFIELD AVE
Practice Address - Street 2:SUITE #106
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754
Practice Address - Country:US
Practice Address - Phone:626-571-5955
Practice Address - Fax:626-571-6233
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA295570207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E05176Medicare UPIN
CAWA29557AMedicare PIN