Eduardo a Lopez MD a Professional Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EDUARDO A LOPEZ MD A PROFESSIONAL CORPORATION

Practice address

21103 Woodglen CT
Walnut, CA 91789-5009

Phone

(909) 708-7016

NPI assigned

May 23, 2006

Last updated

Apr 8, 2009By 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. Eduardo A Lopez, M.D.

Title

President

Phone

(909) 708-7016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1861447781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21103 WOODGLEN CT",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917895009",
            "telephone_number": "909-708-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21103 WOODGLEN CT",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917895009",
            "telephone_number": "909-708-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO A LOPEZ MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-708-7016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Walnut, CA
• Providers in Walnut, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.