Provider Demographics
NPI:1982864393
Name:LO, MARVIN YUKMING (MD)
Entity Type:Individual
Prefix:
First Name:MARVIN
Middle Name:YUKMING
Last Name:LO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1750 EL CAMINO REAL STE 18
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3208
Mailing Address - Country:US
Mailing Address - Phone:650-685-7100
Mailing Address - Fax:650-685-7109
Practice Address - Street 1:359 N SAN MATEO DR STE 1
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2584
Practice Address - Country:US
Practice Address - Phone:650-685-7100
Practice Address - Fax:650-685-7109
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2020-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA87179207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery