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Mark Lopez

NPI 1518978113 · on the registry since 2006 · sole proprietor

Practice

Address
17 Willowbrook Ln
Rancho Santa Margarita, CA 92688
Phone
(949) 858-9619

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California