Zhiwen Lu Md Inc | |
412 W Carroll Ave Ste 104 Glendora CA 91741-4704 | |
(626) 963-1413 | |
(626) 852-1294 |
Full Name | Zhiwen Lu Md Inc |
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Speciality | Internal Medicine |
Location | 412 W Carroll Ave, Glendora, California |
Authorized Official Name and Position | Zhiwen Lu (PHYSICIAN OWNER) |
Authorized Official Contact | 6269631413 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Zhiwen Lu Md Inc 412 W Carroll Ave Ste 104 Glendora CA 91741-4704 Ph: (626) 963-1413 | Zhiwen Lu Md Inc 412 W Carroll Ave Ste 104 Glendora CA 91741-4704 Ph: (626) 963-1413 |
NPI Number | 1245214261 |
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Provider Enumeration Date | 12/02/2005 |
Last Update Date | 12/20/2010 |
Medicare PECOS PAC ID | 4486730603 |
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Medicare Enrollment ID | O20080327000438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245214261 | NPI | - | NPPES |
00A564210 | Medicaid | CA | |
WA56421C | Other | CA | MEDICARE INDIVIDUAL PTAN |
1245214261 | Other | CA | NPI TYPE 2 |
1578746582 | Other | CA | NPI TYPE 1 |
W21951 | Other | CA | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A56421 (California) | Primary |
Provider Name | Zhi Wen Lu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578746582 PECOS PAC ID: 7214013432 Enrollment ID: I20080327000429 |
Burrows Family Practice, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1377 S Grand Ave, Glendora, CA 91740 Phone: 626-483-3348 Fax: 626-623-7258 | |
Valley Gastoenterology Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Carroll Ave, Suite 201, Glendora, CA 91741 Phone: 626-963-2490 Fax: 626-963-2495 | |
Marc Gutin M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 S Grand Ave, Suite 224, Glendora, CA 91741 Phone: 626-335-8094 Fax: 626-335-1874 | |
Nalini Singh Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 412 W Carroll Ave Ste 106, Glendora, CA 91741 Phone: 626-244-8170 | |
Devesh N Patel,md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Route 66, Suite 302, Glendora, CA 91740 Phone: 626-914-1514 Fax: 626-914-1505 | |
Krunal J Mehta Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Route 66 Ste 214, Glendora, CA 91740 Phone: 626-335-4129 Fax: 626-335-6177 | |
Nilesh N. Patel Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 W Route 66 Ste 302, Glendora, CA 91740 Phone: 626-914-1514 Fax: 626-914-1505 |