# BRIAN LUGO, M.D., MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184938359
- **Authorized official:** BRIAN LUGO MD (PRESIDENT)
- **Authorized official phone:** (626) 768-4415

## Contact information

- **Practice address:** 50 ALESSANDRO PL, SUITE 340, PASADENA, CA 91105-3149
- **Practice address phone:** (626) 768-4415
- **Practice address fax:** (626) 768-4421
- **Mailing address:** PO BOX 50187, PASADENA, CA 91115-0187
- **Mailing address phone:** (626) 768-4415
- **Mailing address fax:** (626) 768-4421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0102X | Surgical Critical Care Physician | A 87704 | CA | Yes |

## Other

- **Enumeration date:** 07/29/2010
- **Last updated:** 07/30/2010