Individual
MR. ANTONIO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 S OAK KNOLL AVE, PASADENA, CA 91101-2611
(626) 795-6907
(626) 795-7080
Mailing address
118 S OAK KNOLL AVE, PASADENA, CA 91101-2611
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
10/07/2010
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