| Jesus Lua, Md, A Professional Medical Corporation | |
|
360 E 7th St Suite A Upland CA 91786-6701 | |
| (909) 985-5784 | |
| (909) 985-7844 |
| Full Name | Jesus Lua, Md, A Professional Medical Corporation |
|---|---|
| Speciality | General Practice |
| Location | 360 E 7th St, Upland, California |
| Authorized Official Name and Position | Jesus Lua (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9099855784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesus Lua, Md, A Professional Medical Corporation 360 E 7th St Suite A Upland CA 91786-6701 Ph: (909) 985-5784 | Jesus Lua, Md, A Professional Medical Corporation 360 E 7th St Suite A Upland CA 91786-6701 Ph: (909) 985-5784 |
| NPI Number | 1497955132 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 12/05/2011 |
| Medicare PECOS PAC ID | 8123117595 |
|---|---|
| Medicare Enrollment ID | O20071207000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497955132 | NPI | - | NPPES |
| 1992776108 | Other | CA | INDIVIDUAL NPI |
| 00A506980 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A50698 (California) | Primary |
| Provider Name | Jesus Lua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992776108 PECOS PAC ID: 2961591326 Enrollment ID: I20071207000703 |
John J Kim Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 N 13th Ave, Upland, CA 91786 Phone: 909-981-8905 Fax: 909-982-8051 | |
Upland Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 N 2nd Ave, Upland, CA 91786 Phone: 909-920-9193 Fax: 909-920-6019 | |
Inland Empire Medical Network,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 585 N Mountain Ave, Suite C, Upland, CA 91786 Phone: 909-981-8599 Fax: 909-981-5441 | |
Basim Z. Abdelkarim, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1310 San Bernardino Rd Ste 103, Upland, CA 91786 Phone: 909-920-0444 Fax: 909-920-5044 | |
Edge Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 440 N Mountain Ave Ste 110, Upland, CA 91786 Phone: 909-870-5200 Fax: 909-870-5188 | |
Karnavy Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E 7th St, Ste. 2e, Upland, CA 91786 Phone: 909-982-8976 Fax: 909-920-3176 | |
Generoso S Nery M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1183 E Foothill Blvd, Suite 135, Upland, CA 91786 Phone: 909-931-1368 Fax: 909-931-1372 |