Provider Demographics
NPI:1881717221
Name:LOO, MARGARET MIYO (MA)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MIYO
Last Name:LOO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:973 PHOENIX AVE
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93004-2252
Mailing Address - Country:US
Mailing Address - Phone:805-659-0856
Mailing Address - Fax:
Practice Address - Street 1:973 PHOENIX AVE
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93004-2252
Practice Address - Country:US
Practice Address - Phone:805-659-0856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor