Individual provider · Type 1 NPI

Jason Lopez, PA

Surgical Physician Assistant · Fullerton, CA

NPI number 1497245138 Active

Practice location

100 E Valencia Mesa Dr Ste 310
Fullerton, CA 92835-3800

Other practice locations

  • 2823 Fresno St, Fresno, CA 93721-1324 · (559) 459-3705

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X55964 (CA)
Medical Physician Assistant 363AM0700X55964 (CA)
Surgical Physician Assistant Primary 363AS0400X55964 (CA)

Surgical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1497245138

Jason Lopez, PA's National Provider Identifier is 1497245138, issued on May 17, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fullerton, CA. The record was last updated on Jul 13, 2021.