Provider Demographics
NPI:1679188379
Name:LUO, NACHUAN (RD)
Entity Type:Individual
Prefix:
First Name:NACHUAN
Middle Name:
Last Name:LUO
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1827 J ST APT 502
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-3037
Mailing Address - Country:US
Mailing Address - Phone:678-756-6031
Mailing Address - Fax:
Practice Address - Street 1:8701 CENTER PKWY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-7918
Practice Address - Country:US
Practice Address - Phone:678-756-6031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered