Healthcare Provider Details

I. General information

NPI: 1932164720
Provider Name (Legal Business Name): CHRISTINE MARIE LOPOPOLO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 01/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6730 N WEST AVE STE 115
FRESNO CA
93711-4301
US

IV. Provider business mailing address

6730 N WEST AVE STE 115
FRESNO CA
93711-4301
US

V. Phone/Fax

Practice location:
  • Phone: 559-261-9320
  • Fax: 559-261-9324
Mailing address:
  • Phone: 559-261-9320
  • Fax: 559-261-9324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA81973
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: