Provider Demographics
NPI:1780695379
Name:LOW, JOANNE E (MD)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:E
Last Name:LOW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 2868
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90213-2868
Mailing Address - Country:US
Mailing Address - Phone:310-659-3300
Mailing Address - Fax:310-829-0608
Practice Address - Street 1:2001 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 1262
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2102
Practice Address - Country:US
Practice Address - Phone:310-829-0600
Practice Address - Fax:310-829-0608
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG62278207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G622780OtherMEDICAL PPIN #
CA00G622780OtherMEDICAL PPIN #
CAE75026Medicare UPIN