| NPI | 1326351248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN LO Physician / Owner 408-295-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |