Doctor Name: | MR. RODRIGO FERNANDO LOPEZ |
NPI Number: | 1114124682 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | |
Business Practice Address: | 1145 Sturgis Road Naval Hospital Twentynine Palms Twentynine Palms, CA - 92278 |
Business Phone Number: | 7608302290 |
Business Fax Number: | |
Mailing Address: | 10024 Merry Brook Trl, SANTEE |
State: | CA |
Postal Code: | 920717211 |
Phone Number: | 6195962897 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2007 |
NPI Last Update Date: | 08/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |