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Jennifer Lopez, MD
Retina Specialist (Ophthalmology) Physician in San Jose, California
NPI 1285194761

Jennifer Lopez is a Retina Specialist (Ophthalmology) Physician based in Aurora, CA and is specialized in Retina Specialist. Jennifer Lopez practices in San Jose, CA and has the professional credentials of MD. The NPI Number for Jennifer Lopez is 1285194761 and holds a License No. (California).

The current practice location address for Jennifer Lopez is 751 S Bascom Ave, San Jose, CA and can be reached out via phone at 408-885-5000.

Location: 751 S Bascom Ave, San Jose, CA, 80042-0429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285194761
Provider Name
Jennifer Lopez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
751 S Bascom Ave, San Jose, CA, 80042-0429
Phone Number
408-885-5000
Fax Number
Provider Enumeration Date
03/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
751 S Bascom Ave
City
San Jose
State
California
Zip
95128-2604
Phone Number
408-885-5000
Fax Number
person
Provider Business Mailing Address Details
Address
751 S Bascom Ave
City
San Jose
State
California
Zip
95128-2604
Phone Number
408-885-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Retina Specialist
Taxonomy
207WX0107X
License No.
DR.0070212 (Colorado)
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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