Mylan Luu, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49933 Issued in CA

Legal business name

MYLAN LUU, DDS, INC

Practice address

14291 Euclid St Ste D114
Garden Grove, CA 92843-4985

Phone

(714) 554-2054

Fax

(714) 554-0256

NPI assigned

Mar 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mylan D Luu, D.D.S.NPI 1659660835

Title

Key Executive

Phone

(714) 554-2054

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mylan Doan Luu, D.D.S.

  • General Practice Dentistry
  • Garden Grove, CA
  • NPI 1659660835
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174642896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14291 EUCLID ST STE D114",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434985",
            "telephone_number": "714-554-2054",
            "fax_number": "714-554-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14291 EUCLID ST STE D114",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434985",
            "telephone_number": "714-554-2054",
            "fax_number": "714-554-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLAN LUU, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "MYLAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "KEY EXECUTIVE",
        "authorized_official_telephone_number": "714-554-2054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Elisa Murillo
• Sahasra Muskula
• Mustard Seed ABA Corporation
• Christina Marie Muyot, M.ED, BCBA
• Theresa Gail Myers
• Lakesha Myles
• Charles Myung, M.D.
• Duk Young Myung, LAC LICENSED ACUPUNC
• Michael Myung
• Ray Hong Myung, D.C.

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.