Individual ProviderAngela LoInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3300(703) 776-4001(703) 776-3582PECOS EnrollmentBased on the most recent information from CMS, provider Angela Lo 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 yesterday at 9:15 AM.Profile DetailsProvider ID1679700306Provider TypeIndividualFull NameLo, AngelaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date6/21/2009Last Updated9/15/2020Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3300Phone(703) 776-4001Fax(703) 776-7113Mailing LocationMailing Address3300 Gallows Rd Dept Of, Falls Church, VA 22042-3307Phone(703) 776-3582Fax(703) 776-3020Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101268514VirginiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense240918Massachusetts