Dr D A Lopez, MD | |
230 Prospect Pl, Ste 260, Coronado, CA 92118-1987 | |
(619) 437-1146 | |
(619) 437-1912 |
Full Name | Dr D A Lopez |
---|---|
Gender | Male |
Speciality | Dermatology - Dermatopathology |
Location | 230 Prospect Pl, Coronado, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649273293 | NPI | - | NPPES |
00G104110 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | G10411 (California) | Primary |
Entity Name | Charlene V. Kakimoto, Md, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083104012 PECOS PAC ID: 4880940956 Enrollment ID: O20180702003354 |
Mailing Address | Practice Location Address |
---|---|
Dr D A Lopez, MD 230 Prospect Pl, Ste 260, Coronado, CA 92118-1987 Ph: (619) 437-1146 | Dr D A Lopez, MD 230 Prospect Pl, Ste 260, Coronado, CA 92118-1987 Ph: (619) 437-1146 |
Dr. Charlene Vimala Kakimoto, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 230 Prospect Pl, Ste. 260, Coronado, CA 92118 Phone: 619-437-1146 Fax: 619-437-1146 | |
Dr. Nancy B. Murray, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl, Ste 260, Coronado, CA 92118 Phone: 619-437-1146 Fax: 619-437-1912 | |
Dr. Michael J Yablonsky, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 230 Prospect Pl, Suite 260, Coronado, CA 92118 Phone: 619-437-1146 Fax: 619-437-1912 | |
Dr. Ann M. Siefert, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1317 Ynez Pl Ste A, Coronado, CA 92118 Phone: 858-554-8645 |