Individual
JESSIE LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 BEVERLY BLVD, SUITE 8211, LOS ANGELES, CA 90046
(213) 637-3703
Mailing address
7266 FRANKLIN AVE APT 310, LOS ANGELES, CA 90046
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A148179
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2013
Last updated
03/17/2018
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