Provider Demographics
NPI:1053473728
Name:LO, ALVIN KWAN YANG (OD)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:KWAN YANG
Last Name:LO
Suffix:
Gender:M
Credentials:OD
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Other - Credentials:
Mailing Address - Street 1:17134 COLIMA RD STE B&C
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6737
Mailing Address - Country:US
Mailing Address - Phone:626-912-3937
Mailing Address - Fax:626-469-4949
Practice Address - Street 1:451 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-3363
Practice Address - Country:US
Practice Address - Phone:626-969-7859
Practice Address - Fax:626-969-7849
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA9910T152W00000X
CACA99107152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist