| Dr. Lum & Associates | |
|
21847 Avalon Blvd Carson CA 90745-3304 | |
| (310) 549-9710 | |
| (310) 549-4049 |
| Full Name | Dr. Lum & Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21847 Avalon Blvd, Carson, California |
| Authorized Official Name and Position | Randolph Lum (OWNER) |
| Authorized Official Contact | 3105490710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lum & Associates 21847 Avalon Blvd Carson CA 90745-3304 Ph: (310) 549-9710 | Dr. Lum & Associates 21847 Avalon Blvd Carson CA 90745-3304 Ph: (310) 549-9710 |
| NPI Number | 1124272356 |
|---|---|
| Provider Enumeration Date | 11/14/2008 |
| Last Update Date | 11/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124272356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25939 (California) | Primary |
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