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HORACIO G. LOPEZ M.D. INC. NPI 1164696811


NPI Information

NPI: 1164696811
Provider Name: HORACIO G. LOPEZ, M.D., INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2105 BEVERLY BLVD STE 129
LOS ANGELES, CA
ZIP 90057
Phone: (213) 353-3600
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HORACIO G. LOPEZ, M.D., INC. is a primary care clinic center in Los Angeles, CA. HORACIO G. LOPEZ, M.D., INC. NPI is 1164696811. The provider is registered as an organization entity type.

The provider's business location address is:

2105 BEVERLY BLVD STE 129
LOS ANGELES, CA
ZIP 90057-262
Phone: (213) 353-3600
Fax: (213) 483-8432

The provider's authorized official is Horacio Garcia Lopez .
The authorized official title is President and has the following contact phone number (213) 353-3600.

The enumeration date for this NPI number is 4/14/2008 and was last updated on 4/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareA48199CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A481991MEDICAIDCALIFORNIA
200A481991MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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