J Julian Lopez Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

6073 Issued in NV

Legal business name

J JULIAN LOPEZ INC

Doing business as

Center for Liver and Digestive Disesease

Practice address

7106 Smoke Ranch Rd Ste 120
Las Vegas, NV 89128-8346

Phone

(702) 496-0991

Fax

(702) 877-6741

NPI assigned

Oct 27, 2006

Last updated

Jun 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. J Julian Lopez, M.D.

Title

Owner

Phone

(702) 496-0991

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• CENTER FOR LIVER AND DIGESTIVE DISESEASE Doing business as

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1437235827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35679",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335679",
            "telephone_number": "702-496-0991",
            "fax_number": "702-877-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7106 SMOKE RANCH RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288346",
            "telephone_number": "702-496-0991",
            "fax_number": "702-877-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J JULIAN LOPEZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-496-0991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "6073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "NV0397",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019037",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "100010704",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR LIVER AND DIGESTIVE DISESEASE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gastroenterology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Gastroenterology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.