Organization
CAS PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE M LOPEZ (MANAGER)
(951) 710-1030
Entity
Organization
Contact information
Practice address
35067 YUCAIPA BLVD, YUCAIPA, CA 92399-4336
(909) 717-0521
(951) 688-8068
Mailing address
PO BOX 20484, RIVERSIDE, CA 92516-0484
(909) 717-0521
(951) 688-8068
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
06/20/2018
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