Individual
CONSTANCE WENJUI LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 MOORPARK AVE, VHC MOORPARK INTERNAL MEDICINE CLINIC, SAN JOSE, CA 95128-2631
(408) 885-5000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A72854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A728540
—
CA
Enumeration date
04/20/2006
Last updated
04/29/2008
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