Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL LOPEZ
Active Sole ProprietorSAMUEL LOPEZ is a Van Provider healthcare provider located in LA PUENTE, California. NPI 1245887348 is currently active in the NPPES registry. Verify at CMS.
Van Provider · LA PUENTE, CA
Registration Details
- NPI Number
- 1245887348
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2019 (6.9745195279008 yrs)
- Last Updated
- Aug 22, 2019
- Licenses
-
B4967091 (CA)B4967091 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17350 TEMPLE AVE SPC 347LA PUENTE, CA, 917444637Browse CA providers · Browse ZIP 91744
- Phone
- 5624505050
- Primary Specialty
-
Van Provider
344600000X
- Additional Specialty
- Van Provider
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.