Organization
JORGE R LOPEZ MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JROGE RUIZ LOPEZ MD (OWNER)
(714) 825-1844
Entity
Organization
Contact information
Practice address
2740 S BRISTOL ST STE 100, SANTA ANA, CA 92704-6232
(714) 825-1844
Mailing address
2740 S BRISTOL ST STE 100, SANTA ANA, CA 92704-6232
(714) 825-1844
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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