Active NPI
Lulu L. Chen, MD Inc.
- Family Medicine Physician
- South Gate, CA
National Provider Identifier
1760671358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A700270
- Legal business name
- LULU L. CHEN, MD INC.
- Practice address
- 8426 California Ave
South Gate, CA 90280-2414 - Phone
- (323) 564-5805
- Fax
- (323) 564-1670
- NPI assigned
- Oct 18, 2007
- 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. Lulu Liang-Yu Chen, M.D.
- Title
- Owner/Physician
- Phone
- (323) 584-9525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A700270 | CA | Primary |
Addresses
Primary practice location
8426 California Ave
South Gate, CA 90280-2414
Mailing address
8426 California Ave
South Gate, CA 90280-2414
Phone (323) 564-5805
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922041235 | Other | CA | NPI CHRISTOPHER SNYDER |
| 1922135086 | Other | CA | NPI HOANG-CHUONG VU |
| 1609899863 | Other | CA | NPI LULU CHEN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080514000868 | CA | Part B Supplier - Clinic/Group Practice | 8628147899 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Huntington Park, CA; Los Angeles, CA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
8426 California Ave
South Gate, CA 90280
Phone (323) 249-1100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218067200000",
"number": "1760671358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8426 CALIFORNIA AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802414",
"telephone_number": "323-564-5805",
"fax_number": "323-564-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8426 CALIFORNIA AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802414",
"telephone_number": "323-564-5805",
"fax_number": "323-564-1670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LULU L. CHEN, MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2008-08-07",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "LULU",
"authorized_official_middle_name": "LIANG-YU",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "323-584-9525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A700270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI CHRISTOPHER SNYDER",
"identifier": "1922041235",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI HOANG-CHUONG VU",
"identifier": "1922135086",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI LULU CHEN",
"identifier": "1609899863",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.