Most Relevant Information
Provider Data
| NPI Number: | 1003558875 |
| Provider Name: | RACHELLE ANN LOPEZ GONZALES MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2022 |
| Last Updated: | 05/05/2022 |
Provider Practice Location
1520 SAN PABLO ST STE 1300
LOS ANGELES
CA
900335312
Practice Location Phone/Fax
| Phone: | 3234425900 |
| Fax: |
Provider Mailing Location
1520 SAN PABLO ST STE 1300
LOS ANGELES
CA
900335312
Provider Mailing Phone/Fax
| Phone: | 3234425900 |
| Fax: |