Provider Demographics
NPI:1598306391
Name:LUU, PETER THE (MS)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:THE
Last Name:LUU
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9201 OAKDALE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-6546
Mailing Address - Country:US
Mailing Address - Phone:818-401-0661
Mailing Address - Fax:
Practice Address - Street 1:253 N SAN GABRIEL BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3429
Practice Address - Country:US
Practice Address - Phone:818-844-3367
Practice Address - Fax:818-844-4203
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-23-64400103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst