Provider Demographics
NPI:1548752371
Name:LOK, MING-SWANG (MD)
Entity Type:Individual
Prefix:
First Name:MING-SWANG
Middle Name:
Last Name:LOK
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 1:18000 STUDEBAKER RD STE 800
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-2671
Mailing Address - Country:US
Mailing Address - Phone:562-735-3226
Mailing Address - Fax:
Practice Address - Street 1:399 E HIGHLAND AVE STE 501
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-3879
Practice Address - Country:US
Practice Address - Phone:909-982-4252
Practice Address - Fax:909-927-8477
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123161207RH0003X
CAC157996207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1670-10-9355OtherDRIVER LICENSE
582006809OtherPASSPORT