Provider Demographics
NPI:1457585903
Name:LU, DANIEL CHIA-HSING (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:CHIA-HSING
Last Name:LU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5767 W CENTURY BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:310-267-2975
Mailing Address - Fax:
Practice Address - Street 1:1131 WILSHIRE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2061
Practice Address - Country:US
Practice Address - Phone:310-267-2975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2015-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA91813207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN44997OtherTN MEDICAL LICENSE