Individual
CECILIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4279 TIERRA REJADA RD, MOORPARK, CA 93021-3775
(805) 222-2323
Mailing address
1601 MONTE VISTA AVE, STE 100, CLAREMONT, CA 91711-6601
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12722
CA
Other
Enumeration date
04/09/2008
Last updated
08/01/2023
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