Lua, Jesus
Lua, Jesus is an sole proprietor health care provider with primary practice located at 360 E 7Th St Suite A, Upland CA 91786-6701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lua, Jesus can be contacted via phone (909) 985-5784.Contact Information
Primary practice address
360 E 7Th St Suite A
Upland CA 91786-6701
Phone: (909) 985-5784
Fax: (909) 985-7844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A50698 | California |
Profile Details
| NPI number | 1992776108 |
|---|---|
| LBN Legal business name | Lua, Jesus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Mar 19th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992776108 | NPPES |
| California | MEDICAID | 00A506980 | |
| California | MEDICAID | 1497955132 |
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