Individual
RODRIGO FERNANDO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1145 STURGIS ROAD, NAVAL HOSPITAL TWENTYNINE PALMS, TWENTYNINE PALMS, CA 92278
(760) 830-2290
Mailing address
10024 MERRY BROOK TRL, SANTEE, CA 92071-7211
(619) 596-2897
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3770
CA
Other
Enumeration date
06/28/2007
Last updated
09/23/2019
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