| NPI | 1073165320 |
|---|---|
| Other Name | ANN LUONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62696) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 11919232-1206) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-12-01 |