Mario O. Lopez, M.D, Inc,

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A33916 Issued in CA

Legal business name

MARIO O. LOPEZ, M.D, INC,

Practice address

720 Alamitos Ave
Long Beach, CA 90813-4726

Phone

(562) 218-6284

Fax

(562) 489-0175

NPI assigned

Aug 24, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mario Ordono Lopez, M.D.

Title

President

Phone

(562) 218-6200

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1124334453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ALAMITOS AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134726",
            "telephone_number": "562-218-6284",
            "fax_number": "562-489-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ALAMITOS AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134726",
            "telephone_number": "562-218-6284",
            "fax_number": "562-489-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO O. LOPEZ, M.D, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ORDONO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-218-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A33916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A339160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Charles Marin, MSPO,CPO
• Patricia Marin, LCSW
• Andrea Marincovich, R.D.
• Harry Marinow, M.D.
• Mario I. Brakin, M.D., F.a.a.P., Inc
• Mario San Bartolome, MD, Mba, a Professional Corporation
• Marion Shanker, MFT
• Mark J. Meckes, DDS, Inc.
• Mark Ortega D.D.S., Inc
• Mercedes Marquise Mark

• Family Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.