Most Relevant Information
Provider Data
| NPI Number: | 1003217290 |
| Provider Name: | ANGEL LU |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/08/2014 |
| Last Updated: | 09/08/2014 |
Provider Practice Location
5715 S BROADWAY
LOS ANGELES
CA
900374131
Practice Location Phone/Fax
| Phone: | 3239480444 |
| Fax: |
Provider Mailing Location
9151 TRAVELER DR
RANCHO CUCAMONGA
CA
917014898
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |