NPI Code Details Logo

NPI 1356034987

NPI 1356034987 : LU MENG : SAN JOSE, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1356034987
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LU MENG
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/30/2023
-----------------------------------------------------
    Last Update Date     |    06/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1333 MERIDIAN AVE 
-----------------------------------------------------
    City                 |    SAN JOSE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95125-5212
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    408-445-3400
-----------------------------------------------------
    Fax                  |    408-445-1683
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1333 MERIDIAN AVE 
-----------------------------------------------------
    City                 |    SAN JOSE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95125-5212
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    408-445-3400
-----------------------------------------------------
    Fax                  |    408-445-1683
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    95024365
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    95024365
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.