Individual
DON VINCENT VICTOR LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 DALE RD, MODESTO, CA 95356-8627
(209) 557-1650
Mailing address
769 COLLINS ST, MANTECA, CA 95337-8738
(209) 602-6880
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
151854
CA
Other
Enumeration date
03/27/2015
Last updated
06/20/2022
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