Provider Demographics
NPI:1750449856
Name:LOH, IRVING KENT (MD)
Entity Type:Individual
Prefix:DR
First Name:IRVING
Middle Name:KENT
Last Name:LOH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:425 HAALAND DR
Mailing Address - Street 2:STE 205
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5229
Mailing Address - Country:US
Mailing Address - Phone:805-497-2501
Mailing Address - Fax:805-497-2901
Practice Address - Street 1:425 HAALAND DR
Practice Address - Street 2:STE 205
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-5229
Practice Address - Country:US
Practice Address - Phone:805-497-2501
Practice Address - Fax:805-497-2901
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2009-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA00G268120207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG26812AMedicare PIN
A43104Medicare UPIN