Nicole Lum, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Los Angeles, California. Her current practice location is
757 Westwood Plz, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(310) 825-5615.
Nicole Lum is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689311300.
Physician's Profile
Full Name | Nicole Lum |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 757 Westwood Plz, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689311300
- Provider Enumeration Date: 05/14/2022
- Last Update Date: 04/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517347396
- Enrollment ID: I20220711002710
Medical Identifiers
Medical identifiers for Nicole Lum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689311300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 125.080507 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Lum is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Lum, Box 951690, 52-257 Chs, Los Angeles, CA 90095-1690 Ph: (310) 825-5615 | Nicole Lum, 757 Westwood Plz, Los Angeles, CA 90095-7419 Ph: (310) 825-5615 |
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