Organization
NISHIKAWA AND LOWE SURGICAL SERVICES MEDICAL GROUP, INC
Active
Other names
Nishikawa And Lowe Surgical Services Medical Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC EDWIN LOWE MD (PRESIDENT)
(559) 475-0431
Entity
Organization
Contact information
Practice address
6235 N FRESNO ST STE 106, FRESNO, CA 93710-5269
(559) 475-0431
(559) 475-0436
Mailing address
6235 N FRESNO ST STE 106, FRESNO, CA 93710-5269
(559) 475-0431
(559) 475-0436
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B001
TRICARE
—
05
—
GR0055170
—
CA
01
—
ZZZ41305Z
BLUE SHIELD OF CA
—
Enumeration date
12/19/2005
Last updated
04/14/2020
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