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NPI Code Detail

MEDICARE: DR. MARIA LOPEZ-PATEL M.D.

MEDICARE: DR. MARIA LOPEZ-PATEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA99570CA

General Provider Information

NPI Number : 1689834020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA LOPEZ-PATEL M.D.
Provider Business Mailing Address
First Line : 2032 MARENGO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1319
Country : US
Telephone Number : 213-989-7700
Fax Number :
Provider Business Practice Location Address
First Line : 2032 MARENGO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1319
Country : US
Telephone Number : 213-989-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2008
Last Update Date : 11/30/2021

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