Provider Demographics
NPI:1780770750
Name:PI, PETER LUN
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:LUN
Last Name:PI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 NORTH MAIN STREET
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-2800
Mailing Address - Country:US
Mailing Address - Phone:831-449-9270
Mailing Address - Fax:831-449-5968
Practice Address - Street 1:1285 NORTH MAIN STREET
Practice Address - Street 2:SUITE 107
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-2800
Practice Address - Country:US
Practice Address - Phone:831-449-9270
Practice Address - Fax:831-449-5968
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7177171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist