| Tien Diem Huynh Luu, FNP | |
|
520 So. Lafayette Park Place, 3rd Floor, La, CA 90057-5400 | |
| (213) 252-2100 | |
| (213) 383-3146 |
| Full Name | Tien Diem Huynh Luu |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 520 So. Lafayette Park Place, La, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891241006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95021510 (California) | Primary |
| Entity Name | Amg A Professional Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558306266 PECOS PAC ID: 9830092279 Enrollment ID: O20040131000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Tien Diem Huynh Luu, FNP 520 So. Lafayette Park Place, 3rd Floor, La, CA 90057-5400 Ph: (213) 252-2100 | Tien Diem Huynh Luu, FNP 520 So. Lafayette Park Place, 3rd Floor, La, CA 90057-5400 Ph: (213) 252-2100 |
Ms. Sherrill Anne Washington, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1240 N. Mission Rd (inpatient Tower), 3g 100 Nsy, La, CA 90033 Phone: 323-226-3406 Fax: 323-226-3440 | |
Lacreshia Lynette Hoy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10300 S Compton Ave, La, CA 90002 Phone: 323-568-3023 |