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Organization
ZHIWEN LU MD INC
Active
Organization
ZHIWEN LU MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZHIWEN LU MD (PHYSICIAN OWNER)
(626) 963-1413
Entity
Organization
Contact information
Practice address
412 W CARROLL AVE, STE 104, GLENDORA, CA 91741-4704
(626) 963-1413
(626) 852-1294
Mailing address
412 W CARROLL AVE, STE 104, GLENDORA, CA 91741-4704
(626) 963-1413
(626) 852-1294
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A56421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A564210
—
CA
01
—
1245214261
NPI TYPE 2
CA
01
—
1578746582
NPI TYPE 1
CA
01
—
W21951
MEDICARE GROUP PTAN
CA
01
—
WA56421C
MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
12/02/2005
Last updated
12/20/2010
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