Provider Demographics
NPI:1225061856
Name:LUNING CHEN M.D. MEDICAL CORPORATION
Entity Type:Organization
Organization Name:LUNING CHEN M.D. MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUNING
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-289-7999
Mailing Address - Street 1:737 S GARFIELD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4481
Mailing Address - Country:US
Mailing Address - Phone:626-289-7999
Mailing Address - Fax:626-289-6065
Practice Address - Street 1:737 S GARFIELD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4481
Practice Address - Country:US
Practice Address - Phone:626-289-7999
Practice Address - Fax:626-289-6065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A674420Medicaid
CAW16669OtherMEDICARE ID - PROVIDER NUMBER
CAH11493Medicare UPIN