Healthcare Provider Details

I. General information

NPI: 1386573939
Provider Name (Legal Business Name): LU CHE, DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5624 PHILADELPHIA ST STE 306
CHINO CA
91710-8705
US

IV. Provider business mailing address

5624 PHILADELPHIA ST STE 306
CHINO CA
91710-8705
US

V. Phone/Fax

Practice location:
  • Phone: 626-348-7774
  • Fax:
Mailing address:
  • Phone: 626-348-7774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: LU CHE
Title or Position: PRESIDENT
Credential: DDS
Phone: 626-348-7774