| Fernandina G Lo Md Inc | |
|
5720 Stoneridge Mall Rd Ste 270 Pleasanton CA 94588-2854 | |
| (925) 737-0307 | |
| (925) 463-3979 |
| Full Name | Fernandina G Lo Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5720 Stoneridge Mall Rd Ste 270, Pleasanton, California |
| Authorized Official Name and Position | Fernandina G Lo (PRESIDENT) |
| Authorized Official Contact | 9257370307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernandina G Lo Md Inc 5720 Stoneridge Mall Rd Ste 270 Pleasanton CA 94588-2854 Ph: (925) 737-0307 | Fernandina G Lo Md Inc 5720 Stoneridge Mall Rd Ste 270 Pleasanton CA 94588-2854 Ph: (925) 737-0307 |
| NPI Number | 1932401601 |
|---|---|
| Provider Enumeration Date | 12/01/2010 |
| Last Update Date | 12/01/2010 |
| Medicare PECOS PAC ID | 1658569942 |
|---|---|
| Medicare Enrollment ID | O20101230001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932401601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A51604 (California) | Primary |
| Provider Name | Fernandina Go Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427055706 PECOS PAC ID: 5799973061 Enrollment ID: I20101230000873 |
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