Dr. Jeffrey Luther, M.D.
Family Medicine, Adult Medicine in Long Beach, CA. Individual provider (NPI-1).
NPI number1750487591
StatusActive
Last updated in NPPESDec 8, 2016
Details
- NPI
- 1750487591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Luther
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2006
- Last updated
- Dec 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | G66587 | CA | Yes |
| 207QA0000X | Family Medicine, Adolescent Medicine | G66587 | CA |
Practice location
450 E Spring StSuite #1
Long Beach, CA 90806-1625
Phone 562-933-0068 · Fax 562-933-0078
Mailing address
17360 Brookhurst StAttn: Mcmf- Credentialing Department
Fountain Valley, CA 92708-3720
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