MEDICARE: DR. EDWIN LOW MD

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
1	208000000X	Pediatrics Physician	G64881	CA

General Provider Information

NPI Number	:	1407491251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWIN LOW MD

Provider Business Mailing Address
First Line	:	975 SERENO DR
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94589-2441
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	975 SERENO DR
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94589-2441
Country	:	US
Telephone Number	:	707-651-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2019
Last Update Date	:	03/04/2026

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Directions to “ DR. EDWIN LOW MD” Practice Location

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