Active NPI
Jin Jou Lu MD
- Surgery Physician
- Fountain Valley, CA
National Provider Identifier
1003971672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- JIN JOU LU MD
- Practice address
- 11180 Warner Ave
Suite 461
Fountain Valley, CA 92708-7501 - Phone
- (714) 545-5501
- Fax
- (714) 545-5675
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sanjay A Sippy
- Title
- Billing Manager
- Phone
- (310) 696-5400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
11180 Warner Ave
Suite 461
Fountain Valley, CA 92708-7501
Mailing address
11180 Warner Ave
Suite 461
Fountain Valley, CA 92708-7501
Phone (714) 545-5501
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1003971672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11180 WARNER AVE",
"address_2": "SUITE 461",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087501",
"telephone_number": "714-545-5501",
"fax_number": "714-545-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11180 WARNER AVE",
"address_2": "SUITE 461",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087501",
"telephone_number": "714-545-5501",
"fax_number": "714-545-5675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIN JOU LU MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "SIPPY",
"authorized_official_first_name": "SANJAY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "310-696-5400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.