Organization
GILBERT D LOPES MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERT DOMINIC LOPES MD (OWNER/PHYSICIAN)
(661) 947-4124
Entity
Organization
Contact information
Practice address
1220 E AVENUE S, SUIITE D, PALMDALE, CA 93550-6196
(661) 947-4124
(661) 947-5986
Mailing address
1220 E AVENUE S, SUIITE D, PALMDALE, CA 93550-6196
(661) 947-4124
(661) 947-5986
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A40232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A402321
—
CA
Enumeration date
10/22/2010
Last updated
10/22/2010
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