Organization
R ROLAND LOPEZ, M.D., INC.
Active
Parent organization
R ROLAND LOPEZ, M.D., INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
R ROLAND LOPEZ, M.D., INC.
Authorized official
RAYMOND ROLAND LOPEZ M.D. (OWNER)
(714) 963-9595
Entity
Organization
Contact information
Practice address
12660 RIVERSIDE DR, SUITE 201, NORTH HOLLYWOOD, CA 91607-3429
(714) 963-9595
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
(310) 943-4180
(888) 431-8819
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
G47742
CA
Other
Enumeration date
05/21/2015
Last updated
10/19/2015
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