Raymond F Lopez Jr Md A Professional Corporation | |
933 W 7th St Oxnard CA 93030-6755 | |
(805) 919-9702 | |
Not Available |
Full Name | Raymond F Lopez Jr Md A Professional Corporation |
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Speciality | Family Medicine |
Location | 933 W 7th St, Oxnard, California |
Authorized Official Name and Position | Raymond Lopez (OWNER) |
Authorized Official Contact | 8058578666 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Raymond F Lopez Jr Md A Professional Corporation 3015 Dove Canyon Dr Oxnard CA 93036-6310 Ph: (805) 857-8666 | Raymond F Lopez Jr Md A Professional Corporation 933 W 7th St Oxnard CA 93030-6755 Ph: (805) 919-9702 |
NPI Number | 1710597430 |
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Provider Enumeration Date | 08/06/2020 |
Last Update Date | 08/06/2020 |
Medicare PECOS PAC ID | 0143647198 |
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Medicare Enrollment ID | O20200904001520 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710597430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Raymond F Lopez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184894925 PECOS PAC ID: 3375603194 Enrollment ID: I20081229000472 |
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