Provider Demographics
NPI:1760671358
Name:LULU L. CHEN, MD INC.
Entity Type:Organization
Organization Name:LULU L. CHEN, MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LULU
Authorized Official - Middle Name:LIANG-YU
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-584-9525
Mailing Address - Street 1:8426 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-2414
Mailing Address - Country:US
Mailing Address - Phone:323-564-5805
Mailing Address - Fax:323-564-1670
Practice Address - Street 1:8426 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-2414
Practice Address - Country:US
Practice Address - Phone:323-564-5805
Practice Address - Fax:323-564-1670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA700270207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1922041235OtherNPI CHRISTOPHER SNYDER
CA1922135086OtherNPI HOANG-CHUONG VU
CA1609899863OtherNPI LULU CHEN
CA1922041235OtherNPI CHRISTOPHER SNYDER