Individual
KATHLEEN LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14651 S BASCOM AVE STE 110, LOS GATOS, CA 95032-2004
(408) 358-3573
Mailing address
14651 S BASCOM AVE STE 110, LOS GATOS, CA 95032-2004
(408) 358-3573
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A157577
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
A157577
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2017
Last updated
09/11/2024
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