SANTIAGO LOPEZ

FONTANA, CA
NPI1104489897
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  184318)
Enumeration Date2019-04-17
Last Update Date2023-10-27
Business Address
Mr. SANTIAGO LOPEZ
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 833-574-2273
Mailing Address
Mr. SANTIAGO LOPEZ
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 833-574-2273
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