Victor Manuel Lopez, MD | |
17909 Soledad Canyon Rd, Canyon Country, CA 91387-3210 | |
(661) 250-5225 | |
Not Available |
Full Name | Victor Manuel Lopez |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 17909 Soledad Canyon Rd, Canyon Country, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417976051 | NPI | - | NPPES |
00G784530 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G78453 (California) | Primary |
Entity Name | Providence Facey Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
Mailing Address | Practice Location Address |
---|---|
Victor Manuel Lopez, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5691 | Victor Manuel Lopez, MD 17909 Soledad Canyon Rd, Canyon Country, CA 91387-3210 Ph: (661) 250-5225 |
Rochelle C Feldman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18520 Via Princessa, C-2, Canyon Country, CA 91387 Phone: 661-424-0900 Fax: 661-424-0924 | |
Anita Catherine Sandha, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27141 Hidaway Ave Ste 105, Canyon Country, CA 91351 Phone: 510-316-1080 | |
Dr. Krishan Kumar Vashistha, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27141 Hidaway Ave, Ste 105, Canyon Country, CA 91351 Phone: 661-251-4783 Fax: 661-251-8245 | |
May Yee Tang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5225 Fax: 661-250-5290 | |
Amy C Wagner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18520 Via Princessa, Suite C-2, Canyon Country, CA 91387 Phone: 661-424-0900 Fax: 661-424-0924 |