Provider Demographics
NPI:1356519474
Name:LOO, ARIEL GAN (NP)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:GAN
Last Name:LOO
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:201 S BUENA VISTA ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4569
Mailing Address - Country:US
Mailing Address - Phone:818-562-6400
Mailing Address - Fax:818-562-6405
Practice Address - Street 1:201 S BUENA VISTA ST
Practice Address - Street 2:SUITE 410
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4569
Practice Address - Country:US
Practice Address - Phone:818-562-6400
Practice Address - Fax:818-562-6405
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2025-01-06
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Provider Licenses
StateLicense IDTaxonomies
174400000X
CANP17641364SM0705X
CA17641363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No174400000XOther Service ProvidersSpecialist
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical