Brian B. Lo, Md Inc. | |
7545 Irvine Center Dr Ste 200 Irvine CA 92618-2933 | |
(949) 503-5112 | |
(949) 503-5113 |
Full Name | Brian B. Lo, Md Inc. |
---|---|
Speciality | Internal Medicine |
Location | 7545 Irvine Center Dr Ste 200, Irvine, California |
Authorized Official Name and Position | Kristie Lo (COO/PRACTICE MANAGER) |
Authorized Official Contact | 9495035112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Brian B. Lo, Md Inc. 7545 Irvine Center Dr Ste 200 Irvine CA 92618-2933 Ph: (949) 503-5112 | Brian B. Lo, Md Inc. 7545 Irvine Center Dr Ste 200 Irvine CA 92618-2933 Ph: (949) 503-5112 |
NPI Number | 1558387340 |
---|---|
Provider Enumeration Date | 07/14/2006 |
Last Update Date | 11/13/2023 |
Medicare PECOS PAC ID | 9537179189 |
---|---|
Medicare Enrollment ID | O20060427000328 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558387340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A68666 (California) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Brian B Lo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073501565 PECOS PAC ID: 9537179080 Enrollment ID: I20060428000600 |
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