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General NPI Number Information
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NPI Number | 1033272984
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Entity Type | Organization
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Legal Business Name | IRVING K LOH M D INC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 555 MARIN ST STE 210
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4105
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Country | US
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Telephone | 866-954-3466
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Fax | 888-419-3230
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Provider Business Mailing Address
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Address Line | 425 HAALAND DR STE 205
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-5229
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Country | US
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Telephone | 805-497-2501
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Fax | 805-497-2901
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Authorized Official
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Title or Position | OWNER
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Name | DR. IRVING KENT LOH
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Credential | MD
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Telephone | 805-497-2501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 00G268120
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License Number State | CA
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