Individual
ANGELA M. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 OLD RIVER RD, BAKERSFIELD, CA 93311-9781
(661) 706-1273
Mailing address
11916 INDIANAPOLIS DR, BAKERSFIELD, CA 93312-8240
(661) 706-1273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18219
CA
Other
Enumeration date
05/10/2007
Last updated
08/08/2013
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