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NPI Code Detail

MEDICARE: KAREN S LOPER M.D.

MEDICARE: KAREN S LOPER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianG76438CA

General Provider Information

NPI Number : 1619908936
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN S LOPER M.D.
Provider Business Mailing Address
First Line : 550 WASHINGTON ST STE 300
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2227
Country : US
Telephone Number : 619-297-5437
Fax Number : 619-243-0722
Provider Business Practice Location Address
First Line : 550 WASHINGTON ST STE 300
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2227
Country : US
Telephone Number : 619-297-5437
Fax Number : 619-243-0722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 04/29/2020

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Directions to “ KAREN S LOPER M.D.” Practice Location

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