Provider Demographics
NPI:1548280712
Name:LUU, BEN (MPH)
Entity type:Individual
Prefix:
First Name:BEN
Middle Name:
Last Name:LUU
Suffix:
Gender:M
Credentials:MPH
Other - Prefix:
Other - First Name:BINH
Other - Middle Name:
Other - Last Name:LUU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4910 W 5TH ST APT A
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92703-3153
Mailing Address - Country:US
Mailing Address - Phone:714-333-8164
Mailing Address - Fax:
Practice Address - Street 1:4910 W 5TH ST APT A
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92703-3153
Practice Address - Country:US
Practice Address - Phone:714-333-8164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health