Provider Demographics
NPI:1871537738
Name:HU, EDDIE HONG-LUNG (MD)
Entity type:Individual
Prefix:DR
First Name:EDDIE
Middle Name:HONG-LUNG
Last Name:HU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 S GARFIELD AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4438
Mailing Address - Country:US
Mailing Address - Phone:626-588-2825
Mailing Address - Fax:626-588-2850
Practice Address - Street 1:707 S GARFIELD AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4438
Practice Address - Country:US
Practice Address - Phone:626-588-2825
Practice Address - Fax:626-588-2850
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG46840174400000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1871537738Medicaid
CA00G468400Medicaid
CA1871537738OtherCCS PANELED
CA5003070001Medicare NSC
CAWG46840XMedicare PIN
CA00G468400Medicaid
CA1871537738OtherCCS PANELED
CAGQ628ZMedicare PIN