Individual
MR. JAVIER A LOPEZ MONCAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15216 VANOWEN ST STE 1A, VAN NUYS, CA 91405-3601
(818) 785-7875
(818) 909-7924
Mailing address
15216 VANOWEN ST STE 1A, VAN NUYS, CA 91405-3601
(818) 785-7875
(818) 909-7924
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A161893
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME124126
FL
Other
Enumeration date
03/21/2014
Last updated
07/22/2021
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