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JUSTIN LO MD A PROFESSIONAL MEDICAL CORPORATION

Active
Other names
Northern California Pain Specialist
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN LO M.D. (OWNER)
(408) 295-8628
Entity
Organization

Contact information

Practice address
2101 FOREST AVE, SUITE 220A, SAN JOSE, CA 95128-1448
(408) 295-8628
(408) 295-8061
Mailing address
2101 FOREST AVE, SUITE 220A, SAN JOSE, CA 95128-1448
(408) 295-8628
(408) 295-8061

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A77343
CA

Other

Enumeration date
07/13/2010
Last updated
06/21/2021
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