Individual
DR. BALBINO EDUARDO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 880-7812
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
62815
WI
207L00000X
Anesthesiology Physician
Primary
A172286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093081705
—
WI
Enumeration date
03/27/2012
Last updated
03/07/2023
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