Provider Demographics
NPI:1861610057
Name:LOW, JOHN Y (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:Y
Last Name:LOW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 W COVINA BLVD
Mailing Address - Street 2:ADP MEDICAL DEPT
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-2954
Mailing Address - Country:US
Mailing Address - Phone:909-592-6411
Mailing Address - Fax:909-971-5841
Practice Address - Street 1:400 W COVINA BLVD
Practice Address - Street 2:ADP MEDICAL DEPT
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-2954
Practice Address - Country:US
Practice Address - Phone:909-592-6411
Practice Address - Fax:909-971-5841
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG32755207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine