Individual
JUAN F LOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2131 W 3RD ST, FIRST FLOOR, LOS ANGELES, CA 90057
(213) 484-7901
Mailing address
DEPT LA 21577, PASADENA, CA 91185-1577
(949) 263-8620
(949) 263-1639
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A30368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A303680
BLUE SHIELD
CA
05
—
00A303680
—
CA
Enumeration date
05/17/2006
Last updated
11/30/2007
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