Lucky Stores II LLC

Practice location

Address

5510 Monterey Rd, San Jose, CA 95138-1529

Phone

(408) 972-8742

Fax

(408) 972-1658

Authorised official

Name

Lorenzo Torres

Title

New Store Enrollments

Phone

(847) 916-4463

Registered specialties (2)

Registry record

NPI

1033156468

Entity type

Organization

NPI issued

2 Jun 2006

Record last updated

11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.