| Beth Lo, M.d., Inc. | |
|
1501 Westcliff Dr Ste 225 Newport Beach CA 92660-5541 | |
| (949) 999-7944 | |
| (828) 372-4525 |
| Full Name | Beth Lo, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1501 Westcliff Dr Ste 225, Newport Beach, California |
| Authorized Official Name and Position | Beth Lo (PRESIDENT) |
| Authorized Official Contact | 9499997944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Lo, M.d., Inc. 1501 Westcliff Dr Ste 225 Newport Beach CA 92660-5541 Ph: (949) 999-7944 | Beth Lo, M.d., Inc. 1501 Westcliff Dr Ste 225 Newport Beach CA 92660-5541 Ph: (949) 999-7944 |
| NPI Number | 1639771652 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 0941611719 |
|---|---|
| Medicare Enrollment ID | O20201130001875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639771652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Secondary |
| Provider Name | Beth Lo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487707212 PECOS PAC ID: 8325131626 Enrollment ID: I20070831000441 |
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