| Yen Thi Lu, PA | |
|
23832 Rockfield Blvd Ste And220, Lake Forest, CA 92630-2805 | |
| (949) 770-8115 | |
| Not Available |
| Full Name | Yen Thi Lu |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 23832 Rockfield Blvd Ste And220, Lake Forest, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538779939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kim Tang Md Inc | 0749699080 | 5 |
| Entity Name | Kim Tang MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396339255 PECOS PAC ID: 0749699080 Enrollment ID: O20210517002068 |
| Mailing Address | Practice Location Address |
|---|---|
| Yen Thi Lu, PA 14252 Culver Dr # A918, Irvine, CA 92604-0317 Ph: (949) 943-9209 | Yen Thi Lu, PA 23832 Rockfield Blvd Ste And220, Lake Forest, CA 92630-2805 Ph: (949) 770-8115 |
Alex Chadwick Van Der Ham, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 26730 Towne Centre Dr Ste 204, Lake Forest, CA 92610 Phone: 949-380-1234 |
Oana-diana Popescu, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 24401 Muirlands Blvd Ste A, Lake Forest, CA 92630 Phone: 949-770-1950 |
Emily Kincaid, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24552 Raymond Way # 1330, Lake Forest, CA 92630 Phone: 949-421-7802 |
Scott Cummings Baron, P.A Physician Assistant Medicare: Medicare Enrolled Practice Location: 22855 Lake Forest Dr Ste A, Lake Forest, CA 92630 Phone: 949-452-7544 |
Stephanie Quilianna Fizzard, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 25902 Tipperary Ln, Lake Forest, CA 92630 Phone: 949-916-2924 |
Hye Won Park, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 30 Sorrel, Lake Forest, CA 92630 Phone: 714-788-1290 |
Katrina Wingco Spadafore, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 23653 El Toro Rd Ste B, Lake Forest, CA 92630 Phone: 949-317-0312 |