Organization
SOUTH LOS ANGELES MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY LOPEZ (OFFICE MANAGER)
(562) 832-6380
Entity
Organization
Contact information
Practice address
2804 W FLORENCE AVE, LOS ANGELES, CA 90043-5142
(323) 807-2980
Mailing address
2804 W FLORENCE AVE, LOS ANGELES, CA 90043-5142
(323) 807-2980
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
06/24/2026
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