| Mario O. Lopez, M.d, Inc, | |
|
720 Alamitos Ave Long Beach CA 90813-4726 | |
| (562) 218-6284 | |
| (562) 489-0175 |
| Full Name | Mario O. Lopez, M.d, Inc, |
|---|---|
| Speciality | Family Medicine |
| Location | 720 Alamitos Ave, Long Beach, California |
| Authorized Official Name and Position | Mario Ordono Lopez (PRESIDENT) |
| Authorized Official Contact | 5622186200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mario O. Lopez, M.d, Inc, 720 Alamitos Ave Long Beach CA 90813-4726 Ph: (562) 218-6284 | Mario O. Lopez, M.d, Inc, 720 Alamitos Ave Long Beach CA 90813-4726 Ph: (562) 218-6284 |
| NPI Number | 1124334453 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 08/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124334453 | NPI | - | NPPES |
| 00A339160 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A33916 (California) | Primary |
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