Organization Active NPI

Lulu L. Chen, MD Inc.

  • Family Medicine Physician
  • South Gate, CA
National Provider Identifier
1760671358
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A700270 Issued in CA
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

Updated by the provider on Aug 7, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1922041235OtherCANPI CHRISTOPHER SNYDER
1922135086OtherCANPI HOANG-CHUONG VU
1609899863OtherCANPI LULU CHEN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.