Provider Demographics
NPI:1740824945
Name:LUO, JOSEPH (PT, DPT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:LUO
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 BRISTLECONE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-1219
Mailing Address - Country:US
Mailing Address - Phone:714-673-0305
Mailing Address - Fax:
Practice Address - Street 1:1190 ROOSEVELT STE 100
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-4111
Practice Address - Country:US
Practice Address - Phone:714-673-0305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-30
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist