| Joseph C. Lu, Do. Inc | |
|
207 S Santa Anita St Ste 320 San Gabriel CA 91776-1154 | |
| (626) 458-0181 | |
| Not Available |
| Full Name | Joseph C. Lu, Do. Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 207 S Santa Anita St Ste 320, San Gabriel, California |
| Authorized Official Name and Position | Joseph C Lu (PRESIDENT) |
| Authorized Official Contact | 6265081173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph C. Lu, Do. Inc 207 S Santa Anita St Ste 320 San Gabriel CA 91776-1154 Ph: (626) 508-1173 | Joseph C. Lu, Do. Inc 207 S Santa Anita St Ste 320 San Gabriel CA 91776-1154 Ph: (626) 458-0181 |
| NPI Number | 1912642026 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 5496134884 |
|---|---|
| Medicare Enrollment ID | O20220615000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912642026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Joseph C Lu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407243538 PECOS PAC ID: 2769754605 Enrollment ID: I20200807002878 |
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