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Loreto Michael Lopez

Nurse Practitioner in Loma Linda, CA. Individual provider (NPI-1).

NPI number1346168192
StatusActive
Last updated in NPPESOct 4, 2026

Details

NPI
1346168192
Entity type
Individual (NPI-1)
Name
Loreto Michael Lopez
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 8, 2026
Certification date
Oct 4, 2026
Last updated
Oct 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner95041335CAYes
163WM1400X Registered Nurse, Nurse Massage Therapist (NMT)95293849CA

Practice location

11201 Benton St
Loma Linda, CA 92357-1000

Phone 909-825-7084

Mailing address

2710 Annapolis Cir
San Bernardino, CA 92408-4108

Phone 858-414-9861

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