Individual
RONALD LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6097
(909) 777-3273
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6097
(909) 777-3273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
233150
NY
207RC0000X
Cardiovascular Disease Physician
233150
NY
207RC0000X
Cardiovascular Disease Physician
A98161
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A98161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BX519Z
MEDICARE (INDIVIDUAL)
CA
Enumeration date
09/01/2006
Last updated
04/30/2014
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