Most Relevant Information
Provider Data
| NPI Number: | 1003012931 |
| Provider Name: | NICETO LOPEZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208M00000X |
| Specialty: | Hospitalist |
| License Number: | A96421 |
Most Important Dates
| Enumeration Date: | 06/26/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
801 YGNACIO VALLEY RD
SUITE 250
WALNUT CREEK
CA
945963871
Practice Location Phone/Fax
| Phone: | 9259461080 |
| Fax: |
Provider Mailing Location
3608 LAKESHORE AVE APT 3
OAKLAND
CA
946101763
Provider Mailing Phone/Fax
| Phone: | 5104444589 |
| Fax: |