| Juanlu Medical Corporation | |
| 
					1601 Ygnacio Valley Rd Walnut Creek CA 94598-3122  | |
| (925) 285-6520 | |
| (510) 864-1626 | 
| Full Name | Juanlu Medical Corporation | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 1601 Ygnacio Valley Rd, Walnut Creek, California | 
| Authorized Official Name and Position | Jeffrey Chung Juanlu (OWNER) | 
| Authorized Official Contact | 9252856520 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Juanlu Medical Corporation 20 Vista Rd Alameda CA 94502-7721 Ph: (925) 285-6520  | Juanlu Medical Corporation 1601 Ygnacio Valley Rd Walnut Creek CA 94598-3122 Ph: (925) 285-6520  | 
| NPI Number | 1497047070 | 
|---|---|
| Provider Enumeration Date | 05/13/2011 | 
| Last Update Date | 05/13/2011 | 
| Medicare PECOS PAC ID | 1052580677 | 
|---|---|
| Medicare Enrollment ID | O20110816000137 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497047070 | NPI | - | NPPES | 
| 1922286418 | Other | CA | PERSONAL NPI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A9758 (California) | Primary | 
| Provider Name | Jeffrey C Juanlu | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1922286418 PECOS PAC ID: 7416036355 Enrollment ID: I20080505000301  | 
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