Individual
BRYAN JOE LOPEZ HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 751-3025
Mailing address
330 1/2 E 116TH ST, LOS ANGELES, CA 90061-2914
(323) 770-8294
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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