Individual
DR. ETHAN TIMOTHY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1502 N EL CAMINO REAL, SAN CLEMENTE, CA 92672-5906
(949) 498-6440
Mailing address
1502 N EL CAMINO REAL, SAN CLEMENTE, CA 92672-5906
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
37457
CA
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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