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D.A. LOPEZ MD NPI 1306935200


NPI Information

NPI: 1306935200
Provider Name: D.A. LOPEZ, MD
Classification: Dermatology - 207NI0002X
Entity Type: Organization

Specialization: Clinical & Laboratory Dermatological Immunology

Address:
230 PROSPECT PL
SUITE 260
CORONADO, CA
ZIP 92118
Phone: (619) 437-1146
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D.A. LOPEZ, MD is a clinical and laboratory dermatological immunology dermatology in Coronado, CA. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. D.A. LOPEZ, MD NPI is 1306935200. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

230 PROSPECT PL
SUITE 260
CORONADO, CA
ZIP 92118-978
Phone: (619) 437-1146
Fax: (619) 437-1912

The provider's authorized official is Sirena Ferguson .
The authorized official title is Office Manager and has the following contact phone number (619) 437-1146.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 6/4/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyG10411CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W11493MEDICARE PIN

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

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