Individual provider · NPI-1
Nicole Christine Lopez, ATC
Specialist/Technologist, Athletic Trainer · Westminster, CA
NPI number1184228728
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1184228728
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nicole Christine Lopez
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2020
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
13171 Summit CirWestminster, CA 92683-2115
Phone 909-706-7399
Mailing address
13171 Summit CirWestminster, CA 92683-2115
Phone 909-706-7399
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