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General NPI Number Information
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NPI Number | 1649276031
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE FAMILY MEDICINE
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6701 ROCKSIDE RD STE 260
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2351
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Country | US
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Telephone | 216-369-2525
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Fax | 216-369-2531
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Provider Business Mailing Address
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Address Line | PO BOX 25547
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-0547
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Country | US
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Telephone | 440-717-0077
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Fax | 440-838-1748
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Authorized Official
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Title or Position | OWNER
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Name | KARIM HABIB LOPEZ
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Credential | MD
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Telephone | 216-369-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35066514L
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License Number State | OH
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