Individual
DR. CAROLYN MARY LOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
1430 TARA HILLS DR, PINOLE, CA 94564-2580
(510) 724-3768
(435) 578-7062
Mailing address
PO BOX 5068, GLENDALE, CA 91221-2068
(818) 242-3333
(818) 552-2722
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A63239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A632390
—
CA
Enumeration date
01/03/2007
Last updated
05/06/2022
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