Provider Demographics
NPI:1629097613
Name:LOWE, FRANKLIN (MD)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:
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 1:3851 KATELLA AVE
Mailing Address - Street 2:STE 375
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3377
Mailing Address - Country:US
Mailing Address - Phone:562-493-6568
Mailing Address - Fax:562-493-6573
Practice Address - Street 1:3791 KATELLA AVE
Practice Address - Street 2:210
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3105
Practice Address - Country:US
Practice Address - Phone:562-493-6568
Practice Address - Fax:562-493-6573
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC41992207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E62893Medicare UPIN