Daicy Way Luo
in Sacramento, CA. Individual provider (NPI-1).
NPI number1073431003
StatusActive
Last updated in NPPESJul 7, 2026
Details
- NPI
- 1073431003
- Entity type
- Individual (NPI-1)
- Name
- Ms. Daicy Way Luo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2026
- Certification date
- Jul 8, 2026
- Last updated
- Jul 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Z00000X | CPO05187 | – | Yes | |
| 224P00000X | Prosthetist | CPO05187 | – |
Practice location
2315 Stockton Blvd Ste 509Sacramento, CA 95817-2201
Phone 916-734-2011
Mailing address
8120 Grandstaff DrSacramento, CA 95823-5939
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