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Organization
SOUTH LOS ANGELES MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization
SOUTH LOS ANGELES MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY LOPEZ (OFFICE MANAGER)
(562) 832-6380
Entity
Organization
Contact information
Practice address
2804 W FLORENCE AVE, LOS ANGELES, CA 90043-5142
(323) 807-2980
Mailing address
2804 W FLORENCE AVE, LOS ANGELES, CA 90043-5142
(323) 807-2980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
09/23/2026
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