Lopez, Irma

Lopez, Irma is an sole proprietor health care provider with primary practice located at 602 N Euclid Ave Ste: A, Ontario CA 91762-3224. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Lopez, Irma can be contacted via phone (909) 391-3423.

Contact Information

Primary practice address
602 N Euclid Ave Ste: A Ontario CA 91762-3224
Fax: (909) 391-3424
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G57022 California

Profile Details

NPI number 1538240908
LBN Legal business name Lopez, Irma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jan 7th, 2008 - about 18 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 1538240908 NPPES
California MEDICAID 00G57022

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