Individual
DAVID LEPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 662-4100
(619) 205-6316
Mailing address
1275 30TH ST, SAN DIEGO, CA 92154-3476
(619) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A130348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A130348
MEDICAL LICENSE
CA
Enumeration date
05/26/2012
Last updated
07/07/2015
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