Provider Demographics
NPI:1346283546
Name:LUI, ALFRED FK (MD)
Entity Type:Individual
Prefix:
First Name:ALFRED
Middle Name:FK
Last Name:LUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HORSESHOE LN
Mailing Address - Street 2:
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-4823
Mailing Address - Country:US
Mailing Address - Phone:310-339-5495
Mailing Address - Fax:310-698-7054
Practice Address - Street 1:23441 MADISON ST
Practice Address - Street 2:STE 301B
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4735
Practice Address - Country:US
Practice Address - Phone:310-339-5495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG25015207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN01067217AOtherMEDICAL LICENSE
NY235927OtherMEDICAL LICENSE
AZ37009OtherMEDICAL LICENSE
MI4301095695OtherMEDICAL LICENSE
NV13546OtherMEDICAL LICENSE
HIMD11438OtherMEDICAL LICENSE
CA00G250150Medicaid
FLME108643OtherMEDICAL LICENSE
FLME108643OtherMEDICAL LICENSE
IN01067217AOtherMEDICAL LICENSE