Organization · NPI-2

Sumala Lopansri

Dermatology · Monterey Park, CA

NPI number1508084518
StatusActive
Last updated in NPPESSep 30, 2008

Details

NPI
1508084518
Entity type
Organization (NPI-2)
Legal business name
Sumala Lopansri
Organization subpart
No
Enumeration date
Apr 23, 2007
Last updated
Sep 30, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyA33915CAYes
207W00000X OphthalmologyA33669CA

Other names

  • Lo Medical Group (Doing Business As)

Practice location

223 N Garfield Ave.
Suite 306
Monterey Park, CA 91754

Phone 626-573-5005

Mailing address

223 N Garfield Ave.
Suite 306
Monterey Park, CA 91754

Phone 626-573-5005

Authorized official

Sumala Lopansri
Physician And Surgeon
6265735005

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