Mylan Doan Luu, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49933 Issued in CA

Practice address

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

Phone

(714) 554-2054

Fax

(714) 554-2056

NPI assigned

Mar 28, 2011

Last updated

Mar 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mylan Luu, DDS, Inc

  • General Practice Dentistry
  • Garden Grove, CA
  • NPI 1174642896
  NPD (past) Authorized official

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1659660835",
    "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": "714-554-2056"
        },
        {
            "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": "714-554-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "MYLAN",
        "middle_name": "DOAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Lupercio
• Yvette Beaven Lupercio
• Caitlin Quynh-Nhu Luu
• Jasmine Luu
• Loan Minh Luu, D.D.S
• Tammy Dan Tam-Ngo Luu, OD
• Tracy Luu, PHARMD
• Van Kim Luu, MD
• Melissa Luyben
• Hiromi Luzan

• 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 Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.