Healthcare Provider Details

I. General information

NPI: 1114193000
Provider Name (Legal Business Name): LIN AUNG HU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4784 PECK RD STE A
EL MONTE CA
91732-1360
US

IV. Provider business mailing address

13768 ROSWELL AVE STE 118
CHINO CA
91710-1402
US

V. Phone/Fax

Practice location:
  • Phone: 626-205-1555
  • Fax:
Mailing address:
  • Phone: 909-591-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMT186613
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: