Individual provider · Type 1 NPI

Joel Lopez

Family Nurse Practitioner · Chino, CA

NPI number 1104391200 Active

Practice location

5562 Philadelphia St Ste 301
Chino, CA 91710-2499

Mailing address

3454 Del Rey St
San Diego, CA 92109-5752

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95155507 (CA)
Family Nurse Practitioner Primary 363LF0000X95023964 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1104391200

Joel Lopez's National Provider Identifier is 1104391200, issued on Oct 4, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chino, CA. The record was last updated on Mar 30, 2023.