Individual
MIGUEL ANGEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
Mailing address
8079 E HEDGES AVE, FRESNO, CA 93737-9723
(559) 349-6653
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000022
CA
Other
Enumeration date
07/31/2013
Last updated
12/01/2021
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