Individual
DR. JOSE VELASCO LOPEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 MARSH ST, LOS ANGELES, CA 90039-2908
(323) 543-1900
Mailing address
2811 MARSH ST, LOS ANGELES, CA 90039-2908
(323) 543-1900
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A39052
CA
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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