| Edmund Lo Md Inc | |
|
123 N Garfield Ave #a Alhambra CA 91801 | |
| (626) 284-2264 | |
| (626) 284-5457 |
| Full Name | Edmund Lo Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 123 N Garfield Ave, Alhambra, California |
| Authorized Official Name and Position | Edmund Lo (PRESIDENT) |
| Authorized Official Contact | 6262842264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmund Lo Md Inc 123 N Garfield Ave #a Alhambra CA 91801 Ph: (626) 284-2264 | Edmund Lo Md Inc 123 N Garfield Ave #a Alhambra CA 91801 Ph: (626) 284-2264 |
| NPI Number | 1811007164 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811007164 | NPI | - | NPPES |
| GR0092760 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G63461 (California) | Primary |
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