Individual provider · NPI-1

Cecilia Lopez, PA

Physician Assistant · Moorpark, CA

NPI number1801069943
StatusActive
Last updated in NPPESAug 1, 2023

Details

NPI
1801069943
Entity type
Individual (NPI-1)
Name
Cecilia Lopez
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2008
Certification date
Aug 1, 2023
Last updated
Aug 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA12722CAYes

Practice location

4279 Tierra Rejada Rd
Moorpark, CA 93021-3775

Phone 805-222-2323

Mailing address

1601 Monte Vista Ave
Ste 100
Claremont, CA 91711-6601

Phone 909-335-4188

Other practice locations

7000 Boulder Ave
Highland, CA 92346-3348

Phone 909-862-1191

1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600

Phone 909-865-9977 · Fax 909-946-0166

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