Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | G48794 | CA |
NPI | 1124270186 |
---|---|
Provider Name | Dr. Elwyn Loh |
First Address | South San Francisco, CA 94080-1985 |
Second Address | South San Francisco, CA 94080-1985 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2008 |
Last Update Date | 21/10/2008 |