Organization · NPI-2

Frank Javier Lopez

Prosthetic/Orthotic Supplier · Riverside, CA

NPI number1447473244
StatusActive
Last updated in NPPESJun 26, 2012

Details

NPI
1447473244
Entity type
Organization (NPI-2)
Legal business name
Frank Javier Lopez
Organization subpart
No
Enumeration date
Apr 10, 2007
Last updated
Jun 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

11731 Sterling Ave
Suite H
Riverside, CA 92503-4958

Phone 951-352-9203 · Fax 951-352-9205

Mailing address

11731 Sterling Ave
Suite H
Riverside, CA 92503-4958

Phone 951-352-9203 · Fax 951-352-9205

Authorized official

Frank J Lopez
Owner
9513529203

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