Provider Demographics
NPI:1104915198
Name:LUU, JAMES RICHARD (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:RICHARD
Last Name:LUU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:THINH
Other - Middle Name:JAMES
Other - Last Name:LUU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2323 MONTPELIER DR STE C
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1611
Mailing Address - Country:US
Mailing Address - Phone:408-963-7351
Mailing Address - Fax:
Practice Address - Street 1:2323 MONTPELIER DR
Practice Address - Street 2:C
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1611
Practice Address - Country:US
Practice Address - Phone:408-963-7351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7353204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM