JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION – NPI #1497955132
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION is a provider located in UPLAND, CA. NPPES has assigned the NPI number 1497955132 to JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION on July 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 15 years ago on Dec 05, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION below.

NPI Profile for
JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION

NPI Number
1497955132
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION
Primary location
360 E 7TH ST
SUITE A
UPLAND, CA 91786-6701
Phone: (909) 985-5784 Fax: (909) 985-7844
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JESUS LUA
PHYSICIAN/OWNER
Phone: (909) 985-5784
Updated
Identifiers

Identifiers for JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERINDIVIDUAL NPICA1992776108
MEDICAIDCA00A506980
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 CA A50698

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.