NPI 1023497294

R Roland Lopez, M.D., INC.

Organisation Non-Pharmacy Dispensing Site North Hollywood, CA

Practice location

Address: 12660 Riverside Dr Suite 201, North Hollywood, CA 91607-3429
Phone: (714) 963-9595
Mailing address: 2980 N Beverly Glen Cir Suite 100, Los Angeles, CA 90077-1726

Authorised official

Name: Raymond Roland Lopez
Title: Owner
Phone: (714) 963-9595

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence G47742 (CA)

Other Non-Pharmacy Dispensing Site providers in California →

Registry record

NPI: 1023497294
Entity type: Organization
NPI issued: 21 May 2015
Record last updated: 19 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.