Individual
MICHAEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 MEDICAL PLAZA DRIVE, IRVINE, CA 92697-2358
(949) 824-8600
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY33543
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/20/2018
Last updated
03/07/2023
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