Individual
BRENDA LEE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11900 AVALON BLVD STE 100A, LOS ANGELES, CA 90061-2867
(323) 920-4959
(323) 920-4991
Mailing address
11900 AVALON BLVD STE 100A, LOS ANGELES, CA 90061-2867
(323) 920-4959
(323) 920-4991
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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