Individual
ROBERTO DANIEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
496 W MAIN ST, EL CENTRO, CA 92243-3019
(760) 352-3336
(760) 352-3271
Mailing address
496 W MAIN ST, EL CENTRO, CA 92243-3019
(760) 352-3336
(760) 352-3271
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
CA
Other
Enumeration date
10/24/2006
Last updated
01/12/2017
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