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Organization
MARIO O. LOPEZ, M.D, INC,
Active
Organization
MARIO O. LOPEZ, M.D, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO ORDONO LOPEZ M.D. (PRESIDENT)
(562) 218-6200
Entity
Organization
Contact information
Practice address
720 ALAMITOS AVE, LONG BEACH, CA 90813-4726
(562) 218-6284
(562) 489-0175
Mailing address
720 ALAMITOS AVE, LONG BEACH, CA 90813-4726
(562) 218-6284
(562) 489-0175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A33916
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A339160
—
CA
Enumeration date
08/24/2010
Last updated
08/24/2010
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