Individual
KENNETH L LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W DUARTE RD STE 101, ARCADIA, CA 91007-9266
(626) 254-9010
(626) 254-9019
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A62592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A625920
BLUE SHIELD
CA
05
—
00A625920
—
CA
01
—
180038472
MEDICARE RAILROAD
CA
Enumeration date
12/15/2006
Last updated
02/03/2025
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