Individual ProviderLoi DoanFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address722 Baker St, Costa Mesa, CA 92626-4320(714) 557-6300PECOS EnrollmentBased on the most recent information from CMS, provider Loi Doan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1316523178Provider TypeIndividualFull NameDoan, LoiCredentialDOGenderMaleSole ProprietorNoEnumeration Date3/22/2021Last Updated8/16/2024Contact InformationPractice LocationPractice Address722 Baker St, Costa Mesa, CA 92626-4320Phone(714) 557-6300FaxUnlisted FaxMailing LocationMailing Address722 Baker St, Costa Mesa, CA 92626-4320PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense20A22333California