Provider Demographics
NPI:1417282104
Name:ROBERT M. LOWEN, MD. INC.
Entity Type:Organization
Organization Name:ROBERT M. LOWEN, MD. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MARSHALL
Authorized Official - Last Name:LOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-965-7888
Mailing Address - Street 1:305 SOUTH DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4200
Mailing Address - Country:US
Mailing Address - Phone:650-965-7888
Mailing Address - Fax:650-965-0147
Practice Address - Street 1:305 SOUTH DR
Practice Address - Street 2:SUITE 1
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4200
Practice Address - Country:US
Practice Address - Phone:650-965-7888
Practice Address - Fax:650-965-0147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23412208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACJ962AOtherPTAN
CAD60823Medicare UPIN
CACJ962AMedicare PIN