PO Long Lew, D.O. a Medical Professional Corp.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5380 Issued in CA

Legal business name

PO LONG LEW, D.O. A MEDICAL PROFESSIONAL CORP.

Practice address

9308 Valley Blvd
Rosemead, CA 91770-1924

Phone

(626) 288-8881

NPI assigned

Jul 29, 2008

Last updated

Sep 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. PO Long LewNPI 1235145350

Title

Doctor

Phone

(626) 288-8881

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• PO Long Lew, DO

  • Family Medicine Physician
  • Rosemead, CA
  • NPI 1235145350
  Authorized official Same address or phone

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1558527572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 VALLEY BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9308 VALLEY BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701924",
            "telephone_number": "626-288-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PO LONG LEW, D.O. A MEDICAL PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "PO",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "626-288-8881",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX53801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katya Shawday Pirir
• Scott Plant, L.AC
• Jesusa Portillo, LVN
• Samyrah Powell
• Pro Acupuncture and Herbs Inc
• Professional United Dialysis Center Inc. (Rosemead Dialysis Center)
• Prorehab Physical Therapy and Sports Medicine, Apc

• Family Medicine Physician in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.