Individual
MR. NOE MANUEL LOPEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
510 S ALVARADO ST, LOS ANGELES, CA 90057-2904
(213) 483-3600
(213) 483-4555
Mailing address
1695 N SUNRISE WAY, PALM SPRINGS, CA 92262-3701
(760) 323-2118
(760) 416-1651
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20105
CA
Other
Enumeration date
04/01/2009
Last updated
06/28/2018
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