Provider Demographics
NPI:1013111772
Name:LU, PAOCHIANG (ACUPUNTURIST)
Entity Type:Individual
Prefix:
First Name:PAOCHIANG
Middle Name:
Last Name:LU
Suffix:
Gender:M
Credentials:ACUPUNTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12723 CHARLWOOD ST
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-6051
Mailing Address - Country:US
Mailing Address - Phone:562-916-7960
Mailing Address - Fax:
Practice Address - Street 1:6 HUGHES STE 100
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2060
Practice Address - Country:US
Practice Address - Phone:949-680-1880
Practice Address - Fax:949-680-1881
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8679171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist