Individual
DR. ALFRED LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY, NEWPORT BEACH, CA 92663-4162
(949) 764-6954
(949) 764-5674
Mailing address
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY, NEWPORT BEACH, CA 92663-4162
(949) 764-6954
(949) 764-5674
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A74287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A742870
BLUE SHIELD
CA
05
—
00A742870
—
CA
Enumeration date
06/07/2006
Last updated
10/19/2012
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