Individual provider · Type 1 NPI

Nicole Lum

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1689311300 Active

Practice location

757 Westwood Plz
Los Angeles, CA 90095-7419

Mailing address

Box 951690, 52-257 Chs
Los Angeles, CA 90095-1690

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X125.080507 (IL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689311300

Nicole Lum's National Provider Identifier is 1689311300, issued on May 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 8, 2025.