Individual
DR. IRMA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
602 N EUCLID AVE, STE: A, ONTARIO, CA 91762-3224
(909) 391-3423
(909) 391-3424
Mailing address
602 N EUCLID AVE, STE: A, ONTARIO, CA 91762-3224
(909) 391-3423
(909) 391-3424
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G57022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G57022
—
CA
Enumeration date
10/18/2006
Last updated
01/07/2008
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