Individual provider · Type 1 NPI

Andrea Soto Lopez, MD

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1376119404 Active · reactivated Jun 29, 2023

Practice location

1200 N State Street, Clinic Tower, Suite A7D
Los Angeles, CA 90033

Call (323) 409-3642 Map

Mailing address

1200 N State St, Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029

Other practice locations

  • 100 Ave Laurel, Bayamon, PR 00956-4816 · (787) 798-3001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376119404

Andrea Soto Lopez, MD's National Provider Identifier is 1376119404, issued on May 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 1, 2023.