Individual
IVAN ALEXANDRO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222
Mailing address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19247
CA
Other
Enumeration date
05/27/2025
Last updated
11/23/2025
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