Individual
CHRISTIAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31751 TEAL GATE LN, MENIFEE, CA 92584-7240
(619) 788-2816
Mailing address
31751 TEAL GATE LN, MENIFEE, CA 92584-7240
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
51348
CA
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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