Lopez Gonzalez, Jose A.

Lopez Gonzalez, Jose A. is an individual health care provider with primary practice located at 1810 S Crismon Rd Suite 191, Mesa AZ 85209-3717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lopez Gonzalez, Jose A. can be contacted via phone (480) 393-0575.

Contact Information

Primary practice address
1810 S Crismon Rd Suite 191 Mesa AZ 85209-3717
Phone: (480) 393-0575
Fax: (480) 704-4019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17667 Arizona

Profile Details

NPI number 1396701694
LBN Legal business name Lopez Gonzalez, Jose A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 26th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396701694 NPPES
Arizona MEDICAID 867856

Popular Providers