Individual
ANDREW LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRA
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
212 WEDGEWOOD CIR, CALIMESA, CA 92320-1731
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00098644
CA
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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