Marcus W Lum (NPI# 1003839242, PAC ID# 3072588912) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1003839242 |
| PAC ID by PECOS | 3072588912 |
| Professional Enrollment ID | I20101108001331 |
| Full Name | Marcus W Lum |
| Organization Legal Name | IMPERIAL PRIMARY CARE MEDICAL GROUP |
| Address |
15625 Imperial Hwy La Mirada CA 90638-1627 |
| Phone Number | 5629023000 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3476528316 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050169 | PRESBYTERIAN INTERCOMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15625 Imperial Hwy, La Mirada, CA 90638-1627 | 5629023000 | IMPERIAL PRIMARY CARE MEDICAL GROUP |
| Organization Legal Name | IMPERIAL PRIMARY CARE MEDICAL GROUP |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amine R Chahbouni | Family Medicine | Imperial Primary Care Medical Group | 15625 Imperial Hwy, La Mirada, CA 90638-1627 |
| Michael Roach | Internal Medicine | Imperial Primary Care Medical Group | 15625 Imperial Hwy, La Mirada, CA 90638-1627 |
| Rafael Rubalcava | Family Medicine | Imperial Primary Care Medical Group | 15625 Imperial Hwy, La Mirada, CA 90638-1627 |
| Jamshid Maleki | General Practice | Imperial Primary Care Medical Group | 15625 Imperial Hwy, La Mirada, CA 90638-1627 |
| Street Address |
15625 IMPERIAL HWY |
| City | LA MIRADA |
| State | CA |
| Zip | 90638-1627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amine R Chahbouni | Family Medicine | Imperial Primary Care Medical Group | 15625 Imperial Hwy, La Mirada, CA 90638-1627 |
| Michael Roach | Internal Medicine | Imperial Primary Care Medical Group | 15625 Imperial Hwy, La Mirada, CA 90638-1627 |
| Rafael Rubalcava | Family Medicine | Imperial Primary Care Medical Group | 15625 Imperial Hwy, La Mirada, CA 90638-1627 |
| Jamshid Maleki | General Practice | Imperial Primary Care Medical Group | 15625 Imperial Hwy, La Mirada, CA 90638-1627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Benson | Diagnostic Radiology | Reliant Radiology Medical Group A Professional Corporation | 14900 E Imperial Hwy, La Mirada, CA 90638 |
| John N Sullivan | Chiropractic | 15030 Imperial Hwy, La Mirada, CA 90638-1301 | |
| Jungmee Kim | Allergy/immunology | 15040 Imperial Hwy, La Mirada, CA 90638-1301 | |
| Marc D Melnik | Obstetrics/gynecology | Bright Health Physicians of Pih | 15082 Imperial Hwy, La Mirada, CA 90638-1301 |
| Christine Acornley Besel | Certified Nurse Midwife (cnm) | Bright Health Physicians of Pih | 15082 Imperial Hwy, La Mirada, CA 90638-1301 |
| Jennifer Z Chen | Optometry | Bright Health Physicians of Pih | 15082 Imperial Hwy, La Mirada, CA 90638-1301 |
| Anh-thu Jessica Luu | Podiatry | 15040 Imperial Hwy, La Mirada, CA 90638-1301 | |
| Louis Marchioli | Allergy/immunology | Louis E. Marchioli, M.d., Inc | 15040 Imperial Hwy, La Mirada, CA 90638-1301 |
| Gonzalo E Cruz Schiavone | General Surgery | Robert Marriott Medical Corp | 11926 La Mirada Blvd, La Mirada, CA 90638-1303 |
| Lori Aliksanian | General Surgery | Robert Marriott Medical Corp | 11926 La Mirada Blvd, La Mirada, CA 90638-1303 |
| Find all physicians in zip 90638 | |||
| City | LA MIRADA |
| Zip Code | 90638 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LA MIRADA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Marcus W Lum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.