Individual
CECILIO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G156131
CA
2080P0202X
Pediatric Cardiology Physician
195645
NY
2080P0202X
Pediatric Cardiology Physician
Primary
G156131
CA
2080P0202X
Pediatric Cardiology Physician
ME120270
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257093900
—
FL
Enumeration date
02/15/2006
Last updated
04/11/2024
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