Individual
DR. CHARLES LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10800 MAGNOLIA AVE, SOUTHERN CAL PERMANENTE MEDICAL GROUP, CARDIOLOGY DEPT, RIVERSIDE, CA 92505-3043
(858) 717-5294
Mailing address
10800 MAGNOLIA AVE, SOUTHERN CAL PERMANENTE MEDICAL GROUP, CARDIOLOGY DEPT, RIVERSIDE, CA 92505-3043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A91549
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A91549
CA
Other
Enumeration date
07/03/2008
Last updated
11/30/2021
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