Individual
EDUARDO A. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13652 CANTARA ST # 302, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP, PANORAMA CITY, CA 91402-5423
(818) 375-2574
(818) 847-7830
Mailing address
13652 CANTARA ST # 302, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP, PANORAMA CITY, CA 91402-5423
(818) 375-2574
(818) 847-7830
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A109370
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2007
Last updated
11/29/2021
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