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NPI Code Detail

MEDICARE: MR. JESUS MANUEL LUA

MEDICARE:  MR. JESUS MANUEL LUA
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
1171R00000XInterpreterA1908799CA

General Provider Information

NPI Number : 1376492231
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JESUS MANUEL LUA
Provider Business Mailing Address
First Line : 31125 DESERT PALM DR
Second Line :
City : THOUSAND PALMS
State : CA
Zip : 92276-3103
Country : US
Telephone Number : 760-620-2128
Fax Number :
Provider Business Practice Location Address
First Line : 31125 DESERT PALM DR
Second Line :
City : THOUSAND PALMS
State : CA
Zip : 92276-3103
Country : US
Telephone Number : 760-620-2128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2026
Last Update Date : 01/24/2026

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Directions to “ MR. JESUS MANUEL LUA ” Practice Location

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