Individual
DR. IRENE JIA-SHIN LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 LA CASA VIA, BUILDING 3, SUITE 211, WALNUT CREEK, CA 94598-3045
(925) 933-0984
Mailing address
130 LA CASA VIA, BUILDING 3, SUITE 211, WALNUT CREEK, CA 94598-3045
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A125005
CA
Other
Enumeration date
03/26/2013
Last updated
06/10/2014
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