Lopez, Daniel C

Lopez, Daniel C is an individual health care provider with primary practice located at 6276 River Crest Dr , Riverside CA 92507-0783. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Lopez, Daniel C can be contacted via phone (951) 413-0964.

Contact Information

Primary practice address
6276 River Crest Dr Riverside CA 92507-0783
Phone: (951) 413-0964
Fax: (951) 653-5161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA14440 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA14440 California

Profile Details

NPI number 1730113101
LBN Legal business name Lopez, Daniel C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730113101 NPPES
California MEDICAID 0PA144400
California MEDICAID GR0086790

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