Individual
BERNARD LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17355 EAST GALE AVE #A-1, CITY OF INDUSTRY, CA 91748
(626) 810-9901
Mailing address
5400 ORANGE AVE #215, CYPRESS, CA 90630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7652
CA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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