Individual
DORI D LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
14449 ROSCOE BLVD, PANORAMA CITY, CA 91402-3012
(818) 894-9582
(818) 894-0391
Mailing address
14449 ROSCOE BLVD, PANORAMA CITY, CA 91402-3012
(818) 894-9582
(818) 894-0391
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
CL 664
CA
156FX1800X
Optician
SL 2069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DX002069F
—
CA
Enumeration date
12/13/2006
Last updated
09/11/2025
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