Individual
ANTHONY LUIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
98-1005 MOANALUA RD, SPC 410, AIEA, HI 96701-4702
(808) 488-5555
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DOS-1981
HI
Other
Enumeration date
06/23/2016
Last updated
05/07/2019
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