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Individual

DR. DAVID JAVIER LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5158 BROADWAY AVE, CLEVELAND, OH 44127-1592
(216) 341-0070
(216) 341-0099
Mailing address
5158 BROADWAY AVE, CLEVELAND, OH 44127-1592
(216) 341-0070
(216) 341-0099

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
10292
ND
2084P0800X
Psychiatry Physician
Primary
MD60076901
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028934
BC/BS
ND
05
14661
ND
Enumeration date
10/04/2006
Last updated
05/07/2026
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