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Individual

MR. ALFRED SANGRE LOPEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

Contact information

Practice address
8700 BEVERLY BLVD, BECKER BLDG, SUITE 220, WEST HOLLYWOOD, CA 90048-1804
(424) 345-0044
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(424) 345-0044

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95000451
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95000451
CA
363LG0600X
Gerontology Nurse Practitioner
95000451
CA

Other

Enumeration date
03/18/2014
Last updated
01/23/2026
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