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Mario Alberto Lopez, PA-C
Medical Physician Assistant in Spring Valley, California
NPI 1932335080

Mario Alberto Lopez is a Medical Physician Assistant based in San Diego, CA and is specialized in Medical. Mario Alberto Lopez practices in Spring Valley, CA and has the professional credentials of PA-C. The NPI Number for Mario Alberto Lopez is 1932335080 and holds a License No. PA21385 (California).

The current practice location address for Mario Alberto Lopez is 8788 Jamacha Rd, Spring Valley, CA and can be reached out via phone at 619-515-2555.

Location: 8788 Jamacha Rd, Spring Valley, CA, 92102-4541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932335080
Provider Name
Mario Alberto Lopez
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
8788 Jamacha Rd, Spring Valley, CA, 92102-4541
Phone Number
619-515-2555
Fax Number
Provider Enumeration Date
06/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W5352 01 CA UPIN
institution
Provider Business Practice Location Address Details
Address
8788 Jamacha Rd
City
Spring Valley
State
California
Zip
91977-4035
Phone Number
619-515-2555
Fax Number
person
Provider Business Mailing Address Details
Address
8788 Jamacha Rd
City
Spring Valley
State
California
Zip
91977-4035
Phone Number
619-515-2555
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA21385 (California)
Definition
Definition to come...
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