R ROLAND LOPEZ, M.D., INC. (NPI# 1023497294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023497294 |
| Entity Type | Organization |
| Organization Name | R ROLAND LOPEZ, M.D., INC. |
| Practice Address |
12660 Riverside Dr Suite 201 North Hollywood CA 91607-3429 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 100 Los Angeles CA 90077-1726 |
| Practice Telephone | 7149639595 |
| Mailing Telephone | 3109434180 |
| Mailing Fax Number | 8884318819 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | RAYMOND ROLAND LOPEZ (OWNER) |
| Authorized Official Telephone | 7149639595 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | R ROLAND LOPEZ, M.D., INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | G47742 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952780124 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 821 Pacific Ave, Long Beach, CA 90813-4225 | 2015-05-21 |
| 1770962946 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 1711 W Temple St, Suite 4100, Los Angeles, CA 90026-5421 | 2015-05-21 |
| 1265811434 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 1440 E 1st St, Suite 100, Santa Ana, CA 92701-6384 | 2015-05-21 |
| 1982083150 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 1535 S D St, Suite 240, San Bernardino, CA 92408-3253 | 2015-05-21 |
| 1386021475 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 5301 Whittier Blvd, Suite B, Los Angeles, CA 90022-4038 | 2015-04-28 |
| Street Address |
12660 RIVERSIDE DR SUITE 201 |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91607-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558648444 | Nationwide Interpreting, Inc | Interpreter | 12660 Riverside Dr, 205, North Hollywood, CA 91607-3429 | 2011-11-07 |
| 1851676845 | Ina Hocutt | Physical Medicine & Rehabilitation | 12660 Riverside Dr, 201, North Hollywood, CA 91607-3429 | 2011-10-21 |
| 1073827648 | Orthopedic Rehabilitation Associates of San Fernando Valley | Legal Medicine | 12660 Riverside Dr, Suite 201, North Hollywood, CA 91607-3429 | 2010-08-05 |
| 1588819775 | Pearline P Chong | Family Medicine | 12660 Riverside Dr, Suite 310/320, North Hollywood, CA 91607-3429 | 2008-12-01 |
| 1629235239 | Angelica Y Ang, Dds Inc | Clinic/Center | 12660 Riverside Dr, Suite 330, North Hollywood, CA 91607-3429 | 2008-05-21 |
| 1225208606 | Rheumatology Associates | Internal Medicine | 12660 Riverside Dr, Suite 200, North Hollywood, CA 91607-3430 | 2008-03-03 |
| 1891976189 | Mark Vaisman | Family Medicine | 12660 Riverside Dr, Ste 310, North Hollywood, CA 91607-3429 | 2007-11-15 |
| 1669519450 | Angelica Ang | Dentist | 12660 Riverside Dr, Suite 330, North Hollywood, CA 91607-3429 | 2007-01-31 |
| 1962555466 | Theresa Chinn, M.d., Inc. | Internal Medicine | 12660 Riverside Dr, Suite 110, North Hollywood, CA 91607-3429 | 2007-01-19 |
| 1013024876 | Yaroslav A. Gofnung, M.d., Inc. | Internal Medicine | 12660 Riverside Dr, Suite 225, North Hollywood, CA 91607-3429 | 2006-08-25 |
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| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144403072 | Peter Swerdlick, M.d. Inc. | Non-Pharmacy Dispensing Site | 12520 Magnolia Blvd, Suite 302, North Hollywood, CA 91607-2336 | 2007-12-13 |
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| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
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| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
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| City | NORTH HOLLYWOOD |
| Zip Code | 91607 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.