Individual
ANDREA SOTO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N STATE STREET, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033
(323) 409-3642
Mailing address
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/30/2021
Last updated
08/01/2023
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