Individual
DR. JACOB D LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10837 LAUREL ST STE 103, RANCHO CUCAMONGA, CA 91730-0632
(909) 477-8810
Mailing address
22205 ROLLING HILLS LN, YORBA LINDA, CA 92887-2710
(714) 313-1366
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35795-TLG
CA
Other
Enumeration date
07/02/2024
Last updated
11/05/2025
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