| Jorge R Lopez Md A Professional Medical Corporation | |
|
2740 S Bristol St Ste 100 Santa Ana CA 92704-6232 | |
| (714) 825-1844 | |
| Not Available |
| Full Name | Jorge R Lopez Md A Professional Medical Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2740 S Bristol St Ste 100, Santa Ana, California |
| Authorized Official Name and Position | Jroge Ruiz Lopez (OWNER) |
| Authorized Official Contact | 7148251844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge R Lopez Md A Professional Medical Corporation 2740 S Bristol St Ste 100 Santa Ana CA 92704-6232 Ph: (714) 825-1844 | Jorge R Lopez Md A Professional Medical Corporation 2740 S Bristol St Ste 100 Santa Ana CA 92704-6232 Ph: (714) 825-1844 |
| NPI Number | 1902654536 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902654536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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