Organization
FREDERICK LOPEZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK LOPEZ PSY32140 (PSYCHOLOGIST)
(909) 251-2449
Entity
Organization
Contact information
Practice address
1012 E COOLEY DR STE B2, COLTON, CA 92324-3959
(951) 567-1135
Mailing address
27162 GOLDEN FIELD CT, MORENO VALLEY, CA 92555-4538
(909) 251-2449
(909) 494-4208
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
03/04/2024
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