Provider Demographics
NPI:1306956529
Name:CHEN, LUNING (MD)
Entity type:Individual
Prefix:
First Name:LUNING
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:737 S GARFIELD AVE
Mailing Address - Street 2:STE A
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4481
Mailing Address - Country:US
Mailing Address - Phone:626-289-7999
Mailing Address - Fax:626-289-6065
Practice Address - Street 1:1041 S GARFIELD AVE STE 103
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4766
Practice Address - Country:US
Practice Address - Phone:626-289-7999
Practice Address - Fax:626-289-6065
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67442207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A674420Medicaid
AR4038532Medicare UPIN
CAH11493Medicare UPIN
CA00A674420Medicaid