MEDICARE: ALEXANDRA LOPEZ-AGUIAR 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
1	2086X0206X	Surgical Oncology Physician	A207688	CA
2	2086X0206X	Surgical Oncology Physician	ME164112	FL

General Provider Information

NPI Number	:	1477972040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA LOPEZ-AGUIAR M.D.

Provider Business Mailing Address
First Line	:	263 E 16TH ST
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-3803
Country	:	US
Telephone Number	:	305-491-1411
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 THE CITY DR S
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3201
Country	:	US
Telephone Number	:	714-456-7890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2014
Last Update Date	:	03/16/2026

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