Provider Demographics
NPI:1932842531
Name:SUNNY LO DO A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:SUNNY LO DO A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:LO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:818-659-5887
Mailing Address - Street 1:612 W DUARTE RD STE 601
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-9240
Mailing Address - Country:US
Mailing Address - Phone:818-659-5887
Mailing Address - Fax:701-409-2589
Practice Address - Street 1:612 W DUARTE RD STE 601
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9240
Practice Address - Country:US
Practice Address - Phone:818-659-5887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty