Individual
MAGDALENA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2019 SATURN ST, MONTEREY PARK, CA 91755-7415
(323) 724-0019
Mailing address
2019 SATURN ST, MONTEREY PARK, CA 91755-7415
(323) 724-0019
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
488657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP70468F
EAPC
CA
Enumeration date
09/21/2007
Last updated
05/21/2024
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