Individual
MELISSA LOPEZ-BERMEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
243 GREEN VALLEY RD STE D, FREEDOM, CA 95019-3133
(831) 728-6327
(831) 761-7769
Mailing address
243 GREEN VALLEY RD STE D, FREEDOM, CA 95019-3133
(831) 728-6327
(831) 761-7769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A54168
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A541680
CA
207RP1001X
Pulmonary Disease Physician
Primary
A54168
CA
207RP1001X
Pulmonary Disease Physician
A541680
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A541680
—
CA
Enumeration date
09/24/2006
Last updated
06/02/2020
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