Provider Demographics
NPI:1821266966
Name:LUU, RICKY LE (MD)
Entity Type:Individual
Prefix:MR
First Name:RICKY
Middle Name:LE
Last Name:LUU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:407 W IMPERIAL HWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-4832
Mailing Address - Country:US
Mailing Address - Phone:562-365-3540
Mailing Address - Fax:714-990-2754
Practice Address - Street 1:407 W IMPERIAL HWY
Practice Address - Street 2:SUITE 105
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-4832
Practice Address - Country:US
Practice Address - Phone:562-365-3540
Practice Address - Fax:714-990-2754
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2021-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA105345208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics