JUSTIN LO MD A PROFESSIONAL MEDICAL CORPORATION
Psychiatric at Forest Ave, San Jose, CA

License number
California A77343
Category
Psychiatric
Type
Interventional Pain Medicine
Owner
Name: JUSTIN LO M.D.
Title: OWNER
Phone: (408) 295-8628
Address
Address
2101 Forest Ave SUITE 220A, San Jose, CA 95128
National Provider ID: 1740592260
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JUSTIN LO, M.D., A PROFESSIONAL MEDICAL CORPORATION

2101 Frst Ave #220-A, San Jose, CA 95128

Registration:
Jun 9, 2009
State ID:
C3214285
Business type:
Articles of Incorporation
President:
Justin Lo (President)
Categories:
Gynecology & Obstetrics Physicians & Surgeons

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