Organization
CAROLYN M. LOBO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN M LOBO M.D., (PRESIDENT)
(510) 724-3768
Entity
Organization
Contact information
Practice address
1430 TARA HILLS DR, SUITE A, PINOLE, CA 94564-2580
(510) 724-3768
(435) 578-7062
Mailing address
PO BOX 864, PINOLE, CA 94564-0864
(510) 724-3768
(435) 578-7062
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A63239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A632390
—
CA
01
—
1588711709
NPI -ENTITY 1
—
Enumeration date
04/23/2007
Last updated
02/16/2011
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