Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Yen Thi Lu, PA

Individual provider Physician Assistant · NPI 1538779939

Yen Thi Lu, PA is a Physician Assistant in Lake Forest, California. Qualified in 2019, 7 years ago. Practices with Kim Tang MD Inc, a 5-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

23832 Rockfield Blvd Ste AND220
Lake Forest, CA 92630-2805
Phone: (949) 770-8115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Baldwin Ave Unit 27, Woburn, MA 01801-1414 — (949) 943-9209

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1538779939
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESDecember 31, 2024
Certification dateDecember 31, 2024
Mailing address14252 Culver Dr # A918, Irvine, CA 92604-0317

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kim Tang Md Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lake Forest