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NPI Code Detail

MEDICARE: CHOON SHAN LOO

MEDICARE: CHOON SHAN LOO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1528906674
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHOON SHAN LOO
Provider Business Mailing Address
First Line : 20000 N 57TH AVE RM A306
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-6827
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 S 6TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85723-0001
Country : US
Telephone Number : 520-792-1450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ CHOON SHAN LOO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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