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Individual

DR. JUSTIN LIEH WAI LO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2101 FOREST AVE, SAN JOSE, CA 95128-1472
(408) 295-8628
Mailing address
1020 BROMFIELD RD, HILLSBOROUGH, CA 94010-6622
(650) 280-0816

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A77343
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A77343
CA

Other

Enumeration date
04/05/2006
Last updated
09/11/2025
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