Provider Demographics
NPI:1801050323
Name:LOPEZ, GEMMA M (MD)
Entity type:Individual
Prefix:
First Name:GEMMA
Middle Name:M
Last Name:LOPEZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2323 SACRAMENTO ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2328
Mailing Address - Country:US
Mailing Address - Phone:415-600-5801
Mailing Address - Fax:415-346-8713
Practice Address - Street 1:2323 SACRAMENTO ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2328
Practice Address - Country:US
Practice Address - Phone:415-600-5801
Practice Address - Fax:415-346-8713
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA985132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry