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Organization
NICETO LOPEZ, M.D., A.P.C.
Active
Organization
NICETO LOPEZ, M.D., A.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICETO LOPEZ (M.D.)
(310) 363-1964
Entity
Organization
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 363-1964
Mailing address
PO BOX 3235, SANTA MONICA, CA 90408-3235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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