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Organization

JIN JOU LU MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SANJAY A SIPPY (BILLING MANAGER)
(310) 696-5400
Entity
Organization

Contact information

Practice address
11180 WARNER AVE, SUITE 461, FOUNTAIN VALLEY, CA 92708-7501
(714) 545-5501
(714) 545-5675
Mailing address
11180 WARNER AVE, SUITE 461, FOUNTAIN VALLEY, CA 92708-7501
(714) 545-5501
(714) 545-5675

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207RP1001X
Pulmonary Disease Physician
208600000X
Surgery Physician
Primary

Other

Enumeration date
12/26/2006
Last updated
11/08/2007
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