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JESUS LUA MD A PROFESSIONAL MEDICAL CORPORATION NPI 1497955132


NPI Information

NPI: 1497955132
Provider Name: JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
360 E 7TH ST
SUITE A
UPLAND, CA
ZIP 91786
Phone: (909) 985-5784
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JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION is a general practice in Upland, CA. JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION NPI is 1497955132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

360 E 7TH ST
SUITE A
UPLAND, CA
ZIP 91786-701
Phone: (909) 985-5784
Fax: (909) 985-7844

The provider's authorized official is Jesus Lua .
The authorized official title is Physician/owner and has the following contact phone number (909) 985-5784.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 12/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA50698CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A506980MEDICAIDCALIFORNIA
2F74494MEDICARE UPINCALIFORNIA
300A506981MEDICARE PINCALIFORNIA
41992776108OTHERCALIFORNIAINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.