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Organization
JUANLU MEDICAL CORPORATION
Active
Organization
JUANLU MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CHUNG JUANLU D.O. (OWNER)
(925) 285-6520
Entity
Organization
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 285-6520
(510) 864-1626
Mailing address
20 VISTA RD, ALAMEDA, CA 94502-7721
(925) 285-6520
(510) 864-1626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A9758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922286418
PERSONAL NPI
CA
Enumeration date
05/13/2011
Last updated
05/13/2011
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