Individual
MS. CRISTINA LOPEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2570 JENSEN AVE, SUITE 102, SANGER, CA 93657-2269
(559) 876-1402
(559) 876-9461
Mailing address
2134 10TH ST, SANGER, CA 93657-2959
(559) 875-4060
(559) 876-9461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024301
NCCPA
CA
01
—
13025
PHYSICIAN ASSISTANT
CA
Enumeration date
11/10/2005
Last updated
03/07/2023
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