Organization
SUMALA LOPANSRI
Active
Organization
SUMALA LOPANSRI
Active
Other names
Lo Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
SUMALA LOPANSRI M.D. (PHYSICIAN AND SURGEON)
(626) 573-5005
Entity
Organization
Contact information
Practice address
223 N GARFIELD AVE., SUITE 306, MONTEREY PARK, CA 91754
(626) 573-5005
Mailing address
223 N GARFIELD AVE., SUITE 306, MONTEREY PARK, CA 91754
(626) 573-5005
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A33915
CA
207W00000X
Ophthalmology Physician
A33669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR 0008161
—
CA
Enumeration date
04/23/2007
Last updated
09/30/2008
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