Organization
GIDEON H. LOWE, III, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIDEON LOWE III M.D. (PRESIDENT)
(213) 413-1775
Entity
Organization
Contact information
Practice address
1711 W TEMPLE ST, SUITE 5600, LOS ANGELES, CA 90026-5421
(213) 413-1775
Mailing address
1711 W TEMPLE ST, SUITE 5600, LOS ANGELES, CA 90026-5421
(213) 413-1775
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C33638
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00336380
MEDICARE PROVIDER #
CA
01
—
1356442974
NPI
CA
01
—
C33638
PTAN
CA
Enumeration date
12/30/2015
Last updated
05/31/2016
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