MEDICARE: LU & WEBER CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	PHA439860	CA
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	PHA439860	CA
3	3336H0001X	Home Infusion Therapy Pharmacy	PHA439860	CA

General Provider Information

NPI Number	:	1801828389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LU & WEBER CORPORATION

Provider Business Mailing Address
First Line	:	623 HIGHLAND COLONY PKWY STE 100
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-6077
Country	:	US
Telephone Number	:	714-643-8890
Fax Number	:	714-643-8891

Provider Business Practice Location Address
First Line	:	10521 GARDEN GROVE BLVD BLDG 4
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1128
Country	:	US
Telephone Number	:	714-643-8890
Fax Number	:	714-643-8891

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUDERAL HALL
Credential	:
Telephone Number	:	855-672-0055

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	09/12/2025

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Directions to “LU & WEBER CORPORATION ” Practice Location

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