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Provider Information for 1639379977

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. SHAWN ERIC LOO DDS

Gender: MALE

Individual NPI: 1639379977

Calendar   Last Updated:  2007-07-24
  Certification Date: 

Details

Name Value
NPI 1639379977
Enumeration Date 2007-07-24
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 4330 BARRANCA PKWY STE 220
IRVINE, CA 92604-1705
United States

Phone: 949-857-9220 | Fax: 949-857-4327
View Map External Link
Primary Practice Address 4330 BARRANCA PKWY STE 220
IRVINE, CA 92604-1705
United States

Phone: 949-857-9220 | Fax: 949-857-4327
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 48639