Provider Demographics
NPI:1538294798
Name:LOUIE, MICHAEL K (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:K
Last Name:LOUIE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:15944 LOS SERRANOS COUNTRY CLUB DR.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-3991
Mailing Address - Country:US
Mailing Address - Phone:909-627-8521
Mailing Address - Fax:909-563-8202
Practice Address - Street 1:15944 LOS SERRANOS COUNTRY CLUB DR.
Practice Address - Street 2:SUITE 200
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-3991
Practice Address - Country:US
Practice Address - Phone:909-627-8521
Practice Address - Fax:909-563-8202
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2015-02-26
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Provider Licenses
StateLicense IDTaxonomies
CAA98215208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology