Healthcare Provider Details

I. General information

NPI: 1003012725
Provider Name (Legal Business Name): ELIM HEALTH CENTER,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8526 GARVEY AVE
ROSEMEAD CA
91770-2765
US

IV. Provider business mailing address

8526E.GARVEY AVE
ROSEMEAD CA
91770-2765
US

V. Phone/Fax

Practice location:
  • Phone: 626-307-9400
  • Fax: 626-307-9445
Mailing address:
  • Phone: 626-307-9400
  • Fax: 626-307-9445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberA12760
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA052694
License Number StateCA

VIII. Authorized Official

Name: DR. LUKE M CUA
Title or Position: PRESIDENT
Credential: OMD
Phone: 626-307-9400