NPIMap

Organization Active NPI

R Roland Lopez, M.D., Inc.

  • Non-Pharmacy Dispensing Site
  • Los Angeles, CA
National Provider Identifier
1386021475
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
G47742 Issued in CA
Legal business name
R ROLAND LOPEZ, M.D., INC.
Practice address
5301 Whittier Blvd
Suite B
Los Angeles, CA 90022-4038
Phone
(714) 963-9595
NPI assigned
Apr 28, 2015
Organization subpart
Yes
Parent organization
R ROLAND LOPEZ, M.D., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Raymond Roland Lopez, M.D.
Title
Owner
Phone
(714) 963-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X G47742 CA Primary

Addresses

Primary practice location

5301 Whittier Blvd
Suite B
Los Angeles, CA 90022-4038

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 943-4180

National Provider Directory

National Provider Directory
Tax ID family
R Roland Lopez MD Inc6 organizations share this tax ID, including this one
Part of
R Roland Lopez MD Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5301 Whittier Blvd
Ste B
Los Angeles, CA 90022
Phone (714) 963-9595

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1386021475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 WHITTIER BLVD",
            "address_2": "SUITE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224038",
            "telephone_number": "714-963-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R ROLAND LOPEZ, M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R ROLAND LOPEZ, M.D., INC.",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-963-9595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G47742",
            "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 Oct 19, 2015; 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.