Individual
JORGE LOPEZ-AGUADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D/
Contact information
Practice address
49430 ROAD 426, SUITE B, OAKHURST, CA 93644-8618
(559) 683-2459
Mailing address
PO BOX 2588, OAKHURST, CA 93644-2588
(559) 683-2459
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F39744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G633330
—
CA
Enumeration date
08/30/2006
Last updated
09/09/2011
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