Individual
MELISSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 728-0411
Mailing address
8312 GAINFORD ST, DOWNEY, CA 90240-3930
(323) 680-8507
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN95350835
CA
163WG0000X
General Practice Registered Nurse
RN95350835
CA
363LF0000X
Family Nurse Practitioner
RN95350835
CA
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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