Organization Active NPI

L&D Professional, Inc.

Doing business as Fontana Family Foot Care Center

  • Foot & Ankle Surgery Podiatrist
  • Fontana, CA
National Provider Identifier
1942317284
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4444 Issued in CA
Legal business name
L&D PROFESSIONAL, INC.
Doing business as
Fontana Family Foot Care Center
Practice address
8110 Mango Ave Ste 102
Fontana, CA 92335-3603
Phone
(909) 350-3032
Fax
(909) 350-0294
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Dr. Vouch Kim Lun, DPMNPI 1528190378
Title
Owner/ President
Phone
(909) 350-3032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4444 CA Primary

Addresses

Primary practice location

8110 Mango Ave Ste 102
Fontana, CA 92335-3603

Mailing address

8110 Mango Ave Ste 102
Fontana, CA 92335-3603
Phone (909) 350-3032

Other names 1

  • Fontana Family Foot Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050824001143 CA Part B Supplier - Clinic/Group Practice 3971534405 Receives reassigned benefits from 2 practitioners
Practice locations: Claremont, CA; Fontana, CA; San Dimas, CA

National Provider Directory

National Provider Directory

Locations

350 Berkeley Ave
Claremont, CA 91711
Phone (909) 394-0304

8110 Mango Ave
Ste 102
Fontana, CA 92335
Phone (310) 766-0200

Practitioners & affiliated clinicians

Practitioners 2

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1942317284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MANGO AVE STE 102",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353603",
            "telephone_number": "909-350-3032",
            "fax_number": "909-350-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 MANGO AVE STE 102",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353603",
            "telephone_number": "909-350-3032",
            "fax_number": "909-350-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&D PROFESSIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "LUN",
        "authorized_official_first_name": "VOUCH",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "909-350-3032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fontana Family Foot Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.