Active NPI
Elaine Lanfan Lu DDS Dental Corp
Doing business as Healthy Life Dental
- General Practice Dentistry
- Monrovia, CA
National Provider Identifier
1235453200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56199
- Legal business name
- ELAINE LANFAN LU DDS DENTAL CORP
- Doing business as
- Healthy Life Dental
- Practice address
- 121 W Colorado Blvd
Monrovia, CA 91016-2805 - Phone
- (626) 278-3248
- Fax
- (626) 446-5356
- NPI assigned
- Mar 19, 2010
- 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. Elaine F Lu, DDS
- Title
- President
- Phone
- (626) 297-3246
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56199 | CA | |
| General Practice Dentistry | 1223G0001X | 56199 | CA | Primary |
Addresses
Primary practice location
121 W Colorado Blvd
Monrovia, CA 91016-2805
Mailing address
325 California St
Unit B
Arcadia, CA 91006-3717
Phone (626) 446-5356
Other names 1
- Healthy Life Dental
National Provider Directory
National Provider DirectoryLocations
121 W Colorado Blvd
Monrovia, CA 91016
Phone (626) 278-3248
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Arcadia, CA
- NPI 1295920148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268956800000",
"number": "1235453200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 CALIFORNIA ST",
"address_2": "UNIT B",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063717",
"telephone_number": "626-446-5356",
"fax_number": "626-446-5356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W COLORADO BLVD",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162805",
"telephone_number": "626-278-3248",
"fax_number": "626-446-5356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELAINE LANFAN LU DDS DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-19",
"last_updated": "2010-03-19",
"status": "A",
"authorized_official_last_name": "LU",
"authorized_official_first_name": "ELAINE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-297-3246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "56199",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "56199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Healthy Life Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.