Individual
CECILIA AMADOR LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
901 W WHITTIER BLVD, MONTEBELLO, CA 90640-4737
(323) 728-8588
(323) 728-4444
Mailing address
901 W WHITTIER BLVD, MONTEBELLO, CA 90640-4737
(323) 728-8588
(323) 728-4444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
FNP11421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11420
MEDICAL LICENSE
CA
05
—
NP0114210
—
CA
Enumeration date
01/18/2007
Last updated
03/19/2015
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