Organization Active NPI

David S Lu, M D, Inc

  • Obstetrics & Gynecology Physician
  • Torrance, CA
National Provider Identifier
1104906411
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G66695 Issued in CA
Legal business name
DAVID S LU, M D, INC
Practice address
20911 Earl St Ste 290
Torrance, CA 90503-4354
Phone
(310) 371-7801
Fax
(310) 371-7812
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Shin-Chu Lu, MDNPI 1255515417
Title
Physician
Phone
(310) 371-7801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G66695 CA Primary

Addresses

Primary practice location

20911 Earl St Ste 290
Torrance, CA 90503-4354

Mailing address

20911 Earl St Ste 290
Torrance, CA 90503-4354
Phone (310) 371-7801

Other identifiers 1

IdentifierTypeStateIssuer
00G666950MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130117000152 CA Part B Supplier - Clinic/Group Practice 6800956715 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1104906411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 290",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034354",
            "telephone_number": "310-371-7801",
            "fax_number": "310-371-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 290",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034354",
            "telephone_number": "310-371-7801",
            "fax_number": "310-371-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S LU, M D, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SHIN-CHU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-371-7801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G66695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G666950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.