Organization
JONATHAN K. LOO OD, A PROFESSIONAL CORP.
Active
Other names
Jonathan K. Loo, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN K LOO O.D. (OPTOMETRIST)
(209) 952-0821
Entity
Organization
Contact information
Practice address
1111 W ROBINHOOD DR, SUITE L, STOCKTON, CA 95207-5626
(209) 952-0821
(209) 952-0825
Mailing address
1111 W ROBINHOOD DR, SUITE L, STOCKTON, CA 95207-5626
(209) 952-0821
(209) 952-0825
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT5901TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0059010
—
CA
Enumeration date
01/06/2010
Last updated
02/26/2014
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