Provider Demographics
NPI:1275577835
Name:LOWE, DOROTHY HYERIM (MD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:HYERIM
Last Name:LOWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8500 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 605
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3121
Mailing Address - Country:US
Mailing Address - Phone:310-659-7000
Mailing Address - Fax:310-652-1998
Practice Address - Street 1:8500 WILSHIRE BLVD
Practice Address - Street 2:SUITE 605
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3121
Practice Address - Country:US
Practice Address - Phone:310-659-7000
Practice Address - Fax:310-652-1998
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA96677207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA86677OtherSTATE LICENSE
CABL8750019OtherD.E.A.
CAA86677OtherSTATE LICENSE