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Organization

HORACIO G. LOPEZ, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HORACIO GARCIA LOPEZ MD (PRESIDENT)
(213) 353-3600
Entity
Organization

Contact information

Practice address
2105 BEVERLY BLVD STE 129, LOS ANGELES, CA 90057-2262
(213) 353-3600
(213) 483-8432
Mailing address
2105 BEVERLY BLVD STE 129, LOS ANGELES, CA 90057-2262
(213) 353-3600
(213) 483-8432

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A48199
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A481991
CA
Enumeration date
04/14/2008
Last updated
04/14/2008
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