Individual
DR. CHARLES ERNEST LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20998 REDWOOD RD, CASTRO VALLEY, CA 94546-5918
(510) 538-2828
(510) 538-2508
Mailing address
PO BOX 39000, DEPT # 34237, SAN FRANCISCO, CA 94139-0001
(925) 951-1366
(925) 951-1385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G71995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G719950
—
CA
Enumeration date
05/08/2006
Last updated
01/27/2009
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