| Sunny Lo Do A Professional Corporation | |
|
612 W Duarte Rd Ste 601 Arcadia CA 91007-9240 | |
| (818) 659-5887 | |
| Not Available |
| Full Name | Sunny Lo Do A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 612 W Duarte Rd Ste 601, Arcadia, California |
| Authorized Official Name and Position | Sunny Lo (OWNER) |
| Authorized Official Contact | 8186595887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunny Lo Do A Professional Corporation 612 W Duarte Rd Ste 601 Arcadia CA 91007-9240 Ph: (818) 659-5887 | Sunny Lo Do A Professional Corporation 612 W Duarte Rd Ste 601 Arcadia CA 91007-9240 Ph: (818) 659-5887 |
| NPI Number | 1932842531 |
|---|---|
| Provider Enumeration Date | 04/20/2022 |
| Last Update Date | 08/14/2023 |
| Medicare PECOS PAC ID | 9638559198 |
|---|---|
| Medicare Enrollment ID | O20220630002245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932842531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Sunny Lo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891053187 PECOS PAC ID: 0042519894 Enrollment ID: I20180524001417 |
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