Provider Demographics
NPI:1790449593
Name:CHUNG HSU LUE, M.D., INC.
Entity Type:Organization
Organization Name:CHUNG HSU LUE, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:CHUNG HSU
Authorized Official - Middle Name:
Authorized Official - Last Name:LUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-571-4008
Mailing Address - Street 1:600 N GARFIELD AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1170
Mailing Address - Country:US
Mailing Address - Phone:626-571-4008
Mailing Address - Fax:
Practice Address - Street 1:600 N GARFIELD AVE STE 208
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1170
Practice Address - Country:US
Practice Address - Phone:626-571-4008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation