Individual
LUIS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2563 MAST WAY STE 202, CHULA VISTA, CA 91914-4539
(619) 587-0015
Mailing address
2563 MAST WAY STE 202, CHULA VISTA, CA 91914-4539
(619) 587-0015
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
236559863
CA
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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