Organization Active NPI

Raul Lopez, M.D., a Professional Corporation

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1144562190
Registry record updated Mar 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RAUL LOPEZ, M.D., A PROFESSIONAL CORPORATION
Practice address
4521 E Cesar E Chavez Ave
Los Angeles, CA 90022-1116
Phone
(323) 269-4509
NPI assigned
Mar 17, 2013
Last updated
Mar 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2013

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

Authorized official

Name
Dr. Raul Lopez, MD
Title
Owner
Phone
(323) 269-4509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

4521 E Cesar E Chavez Ave
Los Angeles, CA 90022-1116

Mailing address

4521 East Cesar Chavez Ave
Los Angeles, CA 90022-1116
Phone (323) 269-4509

National Provider Directory

National Provider Directory

Locations

4521 E Cesar E Chavez Ave
Los Angeles, CA 90022
Phone (323) 269-4509

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363478400000",
    "number": "1144562190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 EAST CESAR CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221116",
            "telephone_number": "323-269-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221116",
            "telephone_number": "323-269-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL LOPEZ, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-17",
        "last_updated": "2013-03-17",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-269-4509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2013; 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.