Organization
SHIH LIN LUE MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIH LIN LUE MD (OWNER)
(626) 571-4008
Entity
Organization
Contact information
Practice address
600 N GARFIELD AVE STE 208, MONTEREY PARK, CA 91754-1170
(626) 571-4008
(626) 571-4080
Mailing address
600 N GARFIELD AVE STE 208, MONTEREY PARK, CA 91754-1170
(626) 571-4008
(626) 571-4080
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A33091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A330910
—
CA
01
—
A33091
STATE LICENSE
CA
Enumeration date
10/23/2007
Last updated
10/23/2007
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