Provider Demographics
NPI:1689930349
Name:PENG, LU HUA (ACUPUNTURIST)
Entity Type:Individual
Prefix:MRS
First Name:LU
Middle Name:HUA
Last Name:PENG
Suffix:
Gender:F
Credentials:ACUPUNTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7728 GARVEY AVE
Mailing Address - Street 2:#3
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-3072
Mailing Address - Country:US
Mailing Address - Phone:626-636-0421
Mailing Address - Fax:
Practice Address - Street 1:7728 GARVEY AVE
Practice Address - Street 2:#3
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-3072
Practice Address - Country:US
Practice Address - Phone:626-636-0421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14203171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist