Individual
JONATHAN LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 POTRERO AVENUE, BLDG. 5, 1ST FL., SAN FRANCISCO, CA 94110
(628) 206-8020
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
286985
MA
207W00000X
Ophthalmology Physician
Primary
A158653
CA
Other
Enumeration date
09/26/2015
Last updated
09/20/2023
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