| Oscar A Lopez Md | |
|
751 W Legion Rd Ste 103 Brawley CA 92227-7754 | |
| (619) 717-1111 | |
| Not Available |
| Full Name | Oscar A Lopez Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 751 W Legion Rd Ste 103, Brawley, California |
| Authorized Official Name and Position | Oscar A Lopez (CEO) |
| Authorized Official Contact | 6197171111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oscar A Lopez Md 207 W Legion Rd Ste 103 Brawley CA 92227-7780 Ph: (760) 351-4466 | Oscar A Lopez Md 751 W Legion Rd Ste 103 Brawley CA 92227-7754 Ph: (619) 717-1111 |
| NPI Number | 1689070088 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 11/12/2014 |
| Medicare PECOS PAC ID | 7315258191 |
|---|---|
| Medicare Enrollment ID | O20150619001742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689070088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A108837 (California) | Primary |
| Provider Name | Oscar A Lopez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205034733 PECOS PAC ID: 2668608258 Enrollment ID: I20131204002145 |
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