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1245364785
JOSE LOPEZ
LOS ANGELES, CA
NPI
1245364785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 18745)
Enumeration Date
2007-03-15
Last Update Date
2018-09-11
Business Address
JOSE LOPEZ PAC
1520 SAN PABLO ST STE 2000
LOS ANGELES, CA 90033-5322
Phone number: 323-442-5860
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Mailing Address
JOSE LOPEZ PAC
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-5860
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