Individual provider · Type 1 NPI

Karin Montiel Lopez, PA

Medical Physician Assistant · El Mirage, AZ

NPI number 1487495560 Active

Practice location

15235 N Dysart Rd Ste 103
El Mirage, AZ 85335-7801

Fax (623) 215-7161

Mailing address

15235 N Dysart Rd
El Mirage, AZ 85335-7800

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X11437 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1487495560

Karin Montiel Lopez, PA's National Provider Identifier is 1487495560, issued on Jun 4, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in El Mirage, AZ. The record was last updated on Feb 14, 2026.