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General NPI Number Information
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NPI Number | 1487707212
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Entity Type | Individual
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Provider Name | BETH LO MD
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 1501 WESTCLIFF DR STE 225
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5541
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Country | US
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Telephone | 949-999-2945
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Fax | 828-372-4525
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Provider Business Mailing Address
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Address Line | 1501 WESTCLIFF DR STE 225
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5541
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Country | US
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Telephone | 949-999-2945
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Fax | 828-372-4525
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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 | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | A86564
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A86564
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License Number State | CA
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