Individual
DR. JUAN JOSE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
433 CALLAN AVE, SUITE 104, SAN LEANDRO, CA 94577-4643
(510) 357-3514
Mailing address
838 BRIDGE RD, SAN LEANDRO, CA 94577-3804
(510) 357-3514
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC27475
CA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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