Individual provider · Type 1 NPI

Luis Mario Lopez

Driver · Los Angeles, CA

NPI number 1992302418 Active

Practice location

515 Columbia Ave # 200
Los Angeles, CA 90017-1209

Fax (213) 389-7993

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XY2334234 (CA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1992302418

Luis Mario Lopez's National Provider Identifier is 1992302418, issued on Oct 7, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 7, 2020.