Individual
DR. D. A. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 PROSPECT PL, STE 260, CORONADO, CA 92118-1987
(619) 437-1146
(619) 437-1912
Mailing address
230 PROSPECT PL, STE 260, CORONADO, CA 92118-1987
(619) 437-1146
(619) 437-1912
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
G10411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G104110
—
CA
Enumeration date
05/27/2005
Last updated
11/09/2007
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