Provider Demographics
NPI:1417278359
Name:LU, ERICK CHIEH (DO)
Entity Type:Individual
Prefix:
First Name:ERICK
Middle Name:CHIEH
Last Name:LU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 N GARFIELD AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1242
Mailing Address - Country:US
Mailing Address - Phone:626-280-4393
Mailing Address - Fax:626-280-5393
Practice Address - Street 1:500 N GARFIELD AVE STE 204
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1242
Practice Address - Country:US
Practice Address - Phone:626-280-4393
Practice Address - Fax:626-280-5393
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13378207RC0200X, 207RP1001X
CA20A11483207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016471000Medicaid
FL016471000Medicaid