Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | G65342 | CA |
NPI | 1033288014 |
---|---|
Provider Name | Jaime Rodriguez Lopez |
First Address | Stanford, CA 94305-2296 |
Second Address | Stanford, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 06/07/2020 |