Individual
EDWARD LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(909) 558-4000
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(909) 558-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A202862
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2022
Last updated
07/01/2025
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