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Samuel Lopez

NPI 1245887348 · on the registry since 2019 · sole proprietor

Practice

Address
17350 Temple Ave Spc 347
La Puente, CA 91744
Phone
(562) 450-5050

Registry record

Primary taxonomy
344600000X
344600000X
Also registered as
343900000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California