Lopez, Blake

Lopez, Blake is an individual health care provider with primary practice located at 5555 Grossmont Center Dr , La Mesa CA 91942-3019. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Lopez, Blake can be contacted via phone (619) 465-0711.

Contact Information

Primary practice address
5555 Grossmont Center Dr La Mesa CA 91942-3019
Phone: (619) 465-0711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A177065 California

Profile Details

NPI number 1962908111
LBN Legal business name Lopez, Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2018
Last updated Apr 4th, 2022 - about 4 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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