Lopez, Carlos A

Lopez, Carlos A is an individual health care provider with primary practice located at 72780 Country Club Dr Suite 100, Rancho Mirage CA 92270-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lopez, Carlos A can be contacted via phone (760) 773-9750.

Contact Information

Primary practice address
72780 Country Club Dr Suite 100 Rancho Mirage CA 92270-4126
Fax: (760) 773-9294
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A56141 California

Profile Details

NPI number 1003892894
LBN Legal business name Lopez, Carlos A
Credentials M.D.,M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Nov 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003892894 NPPES
California Other 110199749 RAILROAD MEDICARE
California MEDICAID 00A561410 RAILROAD MEDICARE

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