Individual
CRISTIAN IVAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
(310) 632-0415
(310) 605-0393
Mailing address
1417 W LINCOLN AVE, MONTEBELLO, CA 90640-3245
(323) 251-7241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
700281
CA
Other
Enumeration date
02/27/2013
Last updated
04/23/2013
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