ROBERTO DANIEL LOPEZ NPI 1417031063

NPI Information

NPI: 1417031063
Provider Name: ROBERTO DANIEL LOPEZ
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Individual

Specialization: Customized Equipment

Address:
496 W MAIN ST
EL CENTRO, CA
ZIP 92243
Phone: (760) 352-3336
Get Directions

Roberto Daniel Lopez is a customized equipment durable medical equipment medical supplies in El Centro, CA. Roberto Daniel Lopez NPI is 1417031063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

496 W MAIN ST
EL CENTRO, CA
ZIP 92243-019
Phone: (760) 352-3336
Fax: (760) 352-3271

The enumeration date for this NPI number is 10/24/2006 and was last updated on 1/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1598937047	MEDICARE NSC	CALIFORNIA
2	5687200001	MEDICARE NSC	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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