Individual
RICARDO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11900 AVALON BLVD STE 101, LOS ANGELES, CA 90061-2867
(323) 880-8048
Mailing address
2551 MALABAR ST, LOS ANGELES, CA 90033-2525
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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