Provider Demographics
NPI:1184628109
Name:LOWE, DAVID HUEI-CHUNG (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HUEI-CHUNG
Last Name:LOWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 LAS POSAS RD
Mailing Address - Street 2:SUITE #204
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-1501
Mailing Address - Country:US
Mailing Address - Phone:805-482-8080
Mailing Address - Fax:805-482-8077
Practice Address - Street 1:3901 LAS POSAS RD
Practice Address - Street 2:SUITE #204
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-1501
Practice Address - Country:US
Practice Address - Phone:805-482-8080
Practice Address - Fax:805-482-8077
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG24041208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics