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Contact Information

LESLIE I LU, MD
26800 CROWN VALLEY PKWY STE 305
MISSION VIEJO, CA92691
 Phone: 949-364-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LESLIE I LU · (Male)

NPI # 1104921402
Status Active
Credentials MD
Entity Individual
Enumeration date 09/13/2006
Last updated 11/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G85467
  • WA License # MD00033606
  • WA Medicaid 8204257
  • WA Other MD6063 ALASKA MEDICAID
  • WA Other 5891740001 DME
  • WA Other 223012 LABOR & INDUSTRY
  • WA Other P00442323 PALMETTO RR MEDICARE
  • WA Other 1200LU REGENCE
Hospital affiliation(s)
  • HOAG MEMORIAL HOSPITAL PRESBYTERIAN - (Acute Care)
    ONE HOAG DRIVE
    NEWPORT BEACH, CA 92663
  • MISSION HOSPITAL REGIONAL MED CENTER - (Acute Care)
    27700 MEDICAL CENTER RD
    MISSION VIEJO, CA 92691
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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