Provider Demographics
NPI:1912203373
Name:LOPEZ ARREDONDO, YAHAIRA LUCIA (MD)
Entity Type:Individual
Prefix:
First Name:YAHAIRA
Middle Name:LUCIA
Last Name:LOPEZ ARREDONDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:43575 MISSION BLVD # 709
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5831
Mailing Address - Country:US
Mailing Address - Phone:510-931-4310
Mailing Address - Fax:510-894-0615
Practice Address - Street 1:3155 KEARNEY ST STE 100
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2268
Practice Address - Country:US
Practice Address - Phone:510-931-4310
Practice Address - Fax:510-894-0615
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR5426207R00000X
CAC158470207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine