Individual
BETH LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 WESTCLIFF DR STE 225, NEWPORT BEACH, CA 92660-5541
(949) 999-2945
(828) 372-4525
Mailing address
1501 WESTCLIFF DR STE 225, NEWPORT BEACH, CA 92660-5541
(949) 999-2945
(828) 372-4525
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A86564
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
A86564
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A86564
CA MEDICAL LICENSE
CA
01
—
BL8774122
DEA
CA
Enumeration date
01/18/2007
Last updated
02/16/2024
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