Provider Demographics
NPI:1457401069
Name:LU, JULIE YUJUAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:YUJUAN
Last Name:LU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3801 KATELLA AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3338
Mailing Address - Country:US
Mailing Address - Phone:562-799-8881
Mailing Address - Fax:888-371-1988
Practice Address - Street 1:3801 KATELLA AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3338
Practice Address - Country:US
Practice Address - Phone:562-799-8881
Practice Address - Fax:888-371-1988
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA100889207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine