# MERVIN LOW, MD, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245496173
- **Authorized official:** MERVIN LOW MD (CEO/PRESIDENT)
- **Authorized official phone:** (949) 281-7899

## Contact information

- **Practice address:** 13217 JAMBOREE RD \# 295, TUSTIN, CA 92782-9158
- **Practice address phone:** (949) 281-7899
- **Mailing address:** PO BOX 8107, NEWPORT BEACH, CA 92658-8107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2008
- **Last updated:** 02/17/2015