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Jin Jou Lu MD

Surgery in Fountain Valley, CA. Organization (NPI-2).

NPI number1003971672
StatusActive
Last updated in NPPESNov 8, 2007

Details

NPI
1003971672
Entity type
Organization (NPI-2)
Legal business name
Jin Jou Lu MD
Organization subpart
No
Enumeration date
Dec 26, 2006
Last updated
Nov 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes
207RC0000X Internal Medicine, Cardiovascular Disease––
207RP1001X Internal Medicine, Pulmonary Disease––

Practice location

11180 Warner Ave
Suite 461
Fountain Valley, CA 92708-7501

Phone 714-545-5501 · Fax 714-545-5675

Mailing address

11180 Warner Ave
Suite 461
Fountain Valley, CA 92708-7501

Phone 714-545-5501 · Fax 714-545-5675

Authorized official

Sanjay A Sippy
Billing Manager
3106965400

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery Physician providers in Fountain Valley, CA

All 24 Surgery Physician providers in Fountain Valley · All 3,097 providers in Fountain Valley

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