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NPI Code Detail

MEDICARE: ALEXANDRA VICTORIA LOPEZ

MEDICARE: ALEXANDRA VICTORIA LOPEZ
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
1363L00000XNurse Practitioner95039282CA

General Provider Information

NPI Number : 1962339127
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA VICTORIA LOPEZ
Provider Business Mailing Address
First Line : 2010 N AVE
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-5926
Country : US
Telephone Number : 619-719-0183
Fax Number :
Provider Business Practice Location Address
First Line : 3131 BERGER AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4233
Country : US
Telephone Number : 858-244-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ ALEXANDRA VICTORIA LOPEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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