Individual ProviderGregory LumBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123(619) 598-2924PECOS EnrollmentBased on the most recent information from CMS, provider Gregory Lum does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1659839728Provider TypeIndividualFull NameLum, GregoryGenderMaleSole ProprietorNoEnumeration Date3/7/2019Last Updated3/7/2019Contact InformationPractice LocationPractice Address3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123Phone(619) 598-2924FaxUnlisted FaxMailing LocationMailing Address3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer