Individual
J. ANTONIO G LOPEZ
Active
Individual
J. ANTONIO G LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G56032
CA
207RC0000X
Cardiovascular Disease Physician
Primary
M-9898
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G560320
—
CA
01
—
P00208355
RAILROAD MEDICARE
CA
Enumeration date
02/09/2006
Last updated
08/11/2014
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