| Lulu L. Chen, Md Inc | |
|
711 W College St Suite 205 Los Angeles CA 90012-1163 | |
| (213) 620-9335 | |
| (213) 620-9358 |
| Full Name | Lulu L. Chen, Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 711 W College St, Los Angeles, California |
| Authorized Official Name and Position | Lulu Liang-yu Chen (OWNER) |
| Authorized Official Contact | 3109014714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lulu L. Chen, Md Inc 711 W College St Suite 205 Los Angeles CA 90012-1163 Ph: (213) 620-9335 | Lulu L. Chen, Md Inc 711 W College St Suite 205 Los Angeles CA 90012-1163 Ph: (213) 620-9335 |
| NPI Number | 1952638462 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 11/05/2009 |
| Medicare PECOS PAC ID | 8628147899 |
|---|---|
| Medicare Enrollment ID | O20080514000868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952638462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A70027 (California) | Primary |
| Provider Name | Lulu L Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609899863 PECOS PAC ID: 0345201307 Enrollment ID: I20090123000434 |
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