Individual
YAMIL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, SUITE 2151, LOMA LINDA, CA 92354-2804
(909) 558-4094
Mailing address
PO BOX 1740, LOMA LINDA, CA 92354-0240
(909) 558-5175
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A114680
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07913
—
LA
Enumeration date
05/23/2007
Last updated
05/03/2012
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