# RAUL LOPEZ, M.D., A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144562190
- **Authorized official:** DR. RAUL LOPEZ MD (OWNER)
- **Authorized official phone:** (323) 269-4509

## Contact information

- **Practice address:** 4521 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90022-1116
- **Practice address phone:** (323) 269-4509
- **Mailing address:** 4521 EAST CESAR CHAVEZ AVE, LOS ANGELES, CA 90022-1116
- **Mailing address phone:** (323) 269-4509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2013
- **Last updated:** 03/17/2013