Active NPI
Jennifer Lu DO Inc
- Family Medicine Physician
- Glendora, CA
National Provider Identifier
1144147489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JENNIFER LU DO INC
- Practice address
- 412 W Carroll Ave Ste 104
Glendora, CA 91741-4704 - Phone
- (626) 963-1413
- NPI assigned
- Jun 29, 2026
- 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
- Dr. Jennifer Lu, DO
- Title
- Family Medicine Physician
- Phone
- (626) 963-1413
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
412 W Carroll Ave Ste 104
Glendora, CA 91741-4704
Mailing address
412 W Carroll Ave Ste 104
Glendora, CA 91741-4704
Phone (626) 963-1413
National Provider Directory
National Provider DirectoryLocations
412 W Carroll Ave
Ste 104
Glendora, CA 91741
Phone (626) 963-1413
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Glendora, CA
- NPI 1629764634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784937600000",
"number": "1144147489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 W CARROLL AVE STE 104",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917414704",
"telephone_number": "626-963-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 W CARROLL AVE STE 104",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917414704",
"telephone_number": "626-963-1413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER LU DO INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-29",
"last_updated": "2026-07-25",
"certification_date": "2026-07-25",
"status": "A",
"authorized_official_last_name": "LU",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "FAMILY MEDICINE PHYSICIAN",
"authorized_official_telephone_number": "626-963-1413",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.