LUK BHAVA MEDICAL CORPORATION
NPI 1679736268
Clinic/Center - Primary Care in Monterey Park, CA

Active since July 03, 2008
880 S ATLANTIC BLVD, SUITE 307, MONTEREY PARK, CA 91754(626) 300-8424 Get Directions Write a Review

NPPES record last updated: March 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luk Bhava Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUK BHAVA MEDICAL CORPORATION (NPI 1679736268) is a healthcare organization registered as a primary care in Monterey Park, California and active in the NPI registry since July 2008. The organization lists Lukchai Bhavabhutanon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679736268
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLUK BHAVA MEDICAL CORPORATION
Location Address880 S ATLANTIC BLVD, SUITE 307Monterey Park, CA 91754-4700
Mailing Address880 S Atlantic Blvd, Suite 307Monterey Park, CA 91754-4700
Organization SubpartNo
Authorized OfficialLukchai BhavabhutanonCeo · (626) 300-8424
Enumeration DateJuly 3, 2008
Last NPPES UpdateMarch 6, 2015
NPI 1679736268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · 20A7134
880 S ATLANTIC BLVD, Monterey Park, CA 91754

Other Identifiers 2

Medicare OSCAR/certification20A7134
Medicare UPINH07749

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1001478

Luk Bhava Med Corp · Monterey Park, CA
Expired · Jul 10, 2026
CLIA Number05D1001478
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2024
Certificate Expiration DateJuly 10, 2026
Laboratory DirectorLukchia Bhavabhutanon Do
Laboratory Phone(626) 300-8424
Laboratory LocationLuk Bhava Med Corp880 S Atlantic Blvd Ste 307, Monterey Park, CA 91754
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
880 S ATLANTIC BLVD, SUITE G 10
MONTEREY PARK, CA 91754
Specialist
880 S ATLANTIC BLVD, SUITE 205
MONTEREY PARK, CA 91754
Internal Medicine (Pulmonary Disease)
880 S ATLANTIC BLVD, SUITE#101
MONTEREY PARK, CA 91754
Dentist
880 S ATLANTIC BLVD, SUITE 307
MONTEREY PARK, CA 91754
Specialist
880 S ATLANTIC BLVD, SUITE 205
MONTEREY PARK, CA 91754
Specialist
880 S ATLANTIC BLVD, SUITE 205
MONTEREY PARK, CA 91754
Specialist
880 S ATLANTIC BLVD, 205
MONTEREY PARK, CA 91754
Urology
880 S ATLANTIC BLVD, SUITE 302
MONTEREY PARK, CA 91754

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luk Bhava Medical Corporation's NPI number?

The NPI number for Luk Bhava Medical Corporation is 1679736268. It was assigned to this organization in the NPPES registry on July 3, 2008.

Where is Luk Bhava Medical Corporation located?

Luk Bhava Medical Corporation is located at 880 S Atlantic Blvd Suite 307, Monterey Park, CA 91754. The listed phone number is (626) 300-8424.

What is Luk Bhava Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Luk Bhava Medical Corporation was last updated on March 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.