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Organization
EDMUND LO MD INC
Active
Organization
EDMUND LO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND LO MD (PRESIDENT)
(626) 284-2264
Entity
Organization
Contact information
Practice address
123 N GARFIELD AVE, #A, ALHAMBRA, CA 91801
(626) 284-2264
(626) 284-5457
Mailing address
123 N GARFIELD AVE, #A, ALHAMBRA, CA 91801
(626) 284-2264
(626) 284-5457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G63461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092760
—
CA
Enumeration date
08/30/2006
Last updated
08/22/2020
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