Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | G55217 | CA |
Y | 207RC0000X | Internist - Cardiovascular Disease | G55217 | CA |
NPI | 1114982782 |
---|---|
Provider Name | Joseph F Lopez |
First Address | Torrance, CA 90503-5800 |
Second Address | Torrance, CA 90503-5800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 21/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1255537189 | GROUP NPI (01) | CA |
E49725 | (02) | CA |