Organization Active NPI

Elaine Lanfan Lu DDS Dental Corp

Doing business as Healthy Life Dental

  • General Practice Dentistry
  • Monrovia, CA
National Provider Identifier
1235453200
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56199 Issued in CA
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

Updated by the provider on Mar 19, 2010

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 56199 CA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.