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General NPI Number Information
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NPI Number | 1114197472
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Entity Type | Individual
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Provider Name | JOHN J.K. LOH M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4009 CALLE SONORA OESTE UNIT 3E
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-3252
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Country | US
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Telephone | 315-491-3997
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Fax |
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Provider Business Mailing Address
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Address Line | 4009 CALLE SONORA OESTE UNIT 3E
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-3252
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Country | US
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Telephone | 315-491-3997
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | A36765
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 144774
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 4301042942
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 58968
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License Number State | MN
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