Mario Alberto Lopez, PA-C | |
8788 Jamacha Rd, Spring Valley, CA 91977-4035 | |
(619) 515-2555 | |
Not Available |
Full Name | Mario Alberto Lopez |
---|---|
Gender | Male |
Speciality | Physician Assistant - Medical |
Location | 8788 Jamacha Rd, Spring Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932335080 | NPI | - | NPPES |
W5352 | Other | CA | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA21385 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mario Alberto Lopez, PA-C 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 515-2300 | Mario Alberto Lopez, PA-C 8788 Jamacha Rd, Spring Valley, CA 91977-4035 Ph: (619) 515-2555 |
Jean Cassandra Blas Aguilar, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10024 Eubank Ln, Spring Valley, CA 91977 Phone: 951-465-0416 | |
Tu-uyen Thi Tran, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8788 Jamacha Rd, Spring Valley, CA 91977 Phone: 619-515-2555 |