Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A95854 | CA |
N | 207QS0010X | Family Doctor - Sports Medicine | A95854 | CA |
NPI | 1174653992 |
---|---|
Provider Name | Margaret Lo |
First Address | Los Altos, CA 94022-1408 |
Second Address | Los Altos, CA 94022-1404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 27/05/2020 |