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Organization
RONALD LO MD INC
Active
Organization
RONALD LO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD LO MD (PRESIDENT)
(951) 742-8846
Entity
Organization
Contact information
Practice address
4000 14TH ST, STE 209, RIVERSIDE, CA 92501-4083
(951) 742-8846
(951) 848-0868
Mailing address
220 STANDIFORD AVE, STE F, MODESTO, CA 95350-1159
(209) 579-5628
(209) 579-5637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A98161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BX522A
MEDICARE GROUP #
CA
Enumeration date
06/12/2009
Last updated
08/28/2009
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