Organization
LOPEZ ANESTHESIA SERVICES A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODRIGO LOPEZ CRNA (PRESIDENT)
(619) 513-0894
Entity
Organization
Contact information
Practice address
10 VIA SANTO TOMAS, RANCHO MIRAGE, CA 92270-5816
(619) 513-0894
Mailing address
10 VIA SANTO TOMAS, RANCHO MIRAGE, CA 92270-5816
(619) 513-0894
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/05/2022
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