Provider Demographics
NPI:1538128459
Name:LUZANO, FLORANTE E (MD)
Entity Type:Individual
Prefix:
First Name:FLORANTE
Middle Name:E
Last Name:LUZANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5724
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92838-0724
Mailing Address - Country:US
Mailing Address - Phone:562-626-8016
Mailing Address - Fax:562-626-8017
Practice Address - Street 1:3851 KATELLA AVE
Practice Address - Street 2:SUITE #315
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3338
Practice Address - Country:US
Practice Address - Phone:562-626-8016
Practice Address - Fax:562-626-8017
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA25727207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADM849ZMedicare PIN