Doctor Name: | AIKO LOO |
NPI Number: | 1023318730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, NP-C |
License Number: | 19651 |
Business Practice Address: | 985 Atlantic Ave Suite 250 Alameda, CA - 945016447 |
Business Phone Number: | 5102633300 |
Business Fax Number: | 5102633350 |
Mailing Address: | 985 Atlantic Ave, Suite 250 ALAMEDA |
State: | CA |
Postal Code: | 945016447 |
Phone Number: | 5102633300 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2010 |
NPI Last Update Date: | 10/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 19651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |