Individual
MR. HECTOR SAMUEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10802 COLLEGE PL, CERRITOS, CA 90703-1579
(562) 924-9581
Mailing address
15223 MAIDSTONE AVE, NORWALK, CA 90650-6444
(562) 688-7280
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95092756
CA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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