Individual
DR. BEN EI LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3043 FOOTHILL BLVD STE 4, LA CRESCENTA, CA 91214-2784
(818) 957-8942
(818) 957-7804
Mailing address
1036 S GRANDRIDGE AVE, MONTEREY PARK, CA 91754-4936
(626) 573-0793
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11014T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118510
EYEMED #
CA
05
—
SD0110140
—
CA
Enumeration date
02/07/2007
Last updated
07/09/2007
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