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Individual

JON WARREN LOO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
24451 HEALTH CENTER DR, LAGUNA HILLS, CA 92653-3689
(949) 452-3573
Mailing address
28081 MARGUERITE PKWY UNIT 4433, MISSION VIEJO, CA 92690-1916
(414) 704-8106

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A123551
CA
2085R0204X
Vascular & Interventional Radiology Physician
PG167394
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0A1235510
CA
Enumeration date
06/30/2008
Last updated
04/04/2025
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