Organization Active NPI

Lumins Aesthetic and Wellness, Inc

  • Dermatology Physician
  • Garden Grove, CA
National Provider Identifier
1275144024
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LUMINS AESTHETIC AND WELLNESS, INC
Practice address
10141 Westminster Ave Suite 204a
Garden Grove, CA 92843
Phone
(714) 659-6504
Fax
(714) 908-7596
NPI assigned
Aug 14, 2020
Last updated
May 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Dr. Vu Le, M.D.
Title
Administrator
Phone
(714) 659-6504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

10141 Westminster Ave Suite 204a
Garden Grove, CA 92843

Mailing address

10141 Westminster Ave Suite 204a
Garden Grove, CA 92843
Phone (714) 659-6504

National Provider Directory

National Provider Directory

Locations

10141 Westminster Ave
Ste 204A
Garden Grove, CA 92843
Phone (714) 659-6504

20281 SW Birch St
Ste 201
Newport Beach, CA 92660

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1275144024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10141 WESTMINSTER AVE SUITE 204A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-659-6504",
            "fax_number": "714-908-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 WESTMINSTER AVE SUITE 204A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-659-6504",
            "fax_number": "714-908-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINS AESTHETIC AND WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "VU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-659-6504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.