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NPI Code Detail

MEDICARE: JOHN-CHARLES AIONA LOO

MEDICARE: JOHN-CHARLES AIONA LOO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0202XPediatric Cardiology PhysicianA67200CA

General Provider Information

NPI Number : 1619972700
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN-CHARLES AIONA LOO
Provider Business Mailing Address
First Line : 3080 BRISTOL ST
Second Line : STE 600
City : COSTA MESA
State : CA
Zip : 92626-3093
Country : US
Telephone Number : 714-445-0220
Fax Number : 714-445-0245
Provider Business Practice Location Address
First Line : 2801 ATLANTIC AVE
Second Line : 3RD FLOOR PEDIATRICS
City : LONG BEACH
State : CA
Zip : 90806-1701
Country : US
Telephone Number : 562-933-3350
Fax Number : 562-933-3359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 12/03/2021

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Directions to “ JOHN-CHARLES AIONA LOO ” Practice Location

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