MEDICARE: SUN HEUNG LUI

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	1612-I	CA

General Provider Information

NPI Number	:	1538366851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUN HEUNG LUI

Provider Business Mailing Address
First Line	:	111 MARGARITA AVENUE #203
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754
Country	:	US
Telephone Number	:	626-272-0958
Fax Number	:

Provider Business Practice Location Address
First Line	:	3421 E. OLYMPIC BLVD.
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90023
Country	:	US
Telephone Number	:	323-262-1786
Fax Number	:	323-262-2659

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	07/05/2026

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Directions to “ SUN HEUNG LUI ” Practice Location

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