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1184714040
GLENN ANDREW LOPEZ
LOS ANGELES, CA
NPI
1184714040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA g59193)
Enumeration Date
2006-10-13
Last Update Date
2017-03-28
Business Address
-- GLENN ANDREW LOPEZ M.D., M.P.H.
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1600
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Mailing Address
-- GLENN ANDREW LOPEZ M.D., M.P.H.
833 1/2 N HELIOTROPE DR
LOS ANGELES, CA 90029-2521
Phone number: 818-314-1738
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