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NPI 1164819769

NPI 1164819769 : CHRISTOPHER W. LOH MD APC : CAMARILLO, CA

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General NPI Number Information
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    NPI Number           |    1164819769
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRISTOPHER W. LOH MD APC 
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Dates
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    Enumeration Date     |    04/21/2015
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    Last Update Date     |    04/21/2015
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Provider Practice Location Address
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    Address Line         |    2438 N PONDEROSA DR SUITE C201
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    City                 |    CAMARILLO
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    State                |    CA
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    Zip                  |    93010-2369
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    Country              |    US
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    Telephone            |    805-484-4612
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    Fax                  |    805-383-0340
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Provider Business Mailing Address
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    Address Line         |    2438 N PONDEROSA DR SUITE C201
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    City                 |    CAMARILLO
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    State                |    CA
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    Zip                  |    93010-2369
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    Country              |    US
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    Telephone            |    805-484-4612
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    Fax                  |    805-383-0340
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. CHRISTOPHER W LOH 
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    Credential           |    M.D.
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    Telephone            |    805-484-4612
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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       |    A31056
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    License Number State |    CA
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