Search › California › 106H00000X
Joaquin Lopez De San Roman
NPI 1215482773 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2650 Burnside Rd
Sebastopol, CA 95472 - Phone
- (707) 328-1793
- Fax
- (707) 664-4104
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California