JASON LOPEZ

FULLERTON, CA
NPI1497245138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  55964)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CA  55964)
363AM0700X Physician Assistant, Medical
(Licence: CA  55964)
Enumeration Date2018-05-17
Last Update Date2021-07-13
Business Address
JASON LOPEZ PA
100 E VALENCIA MESA DR STE 310
FULLERTON, CA 92835-3800
Phone number: 714-734-3120
Mailing Address
JASON LOPEZ PA
100 E VALENCIA MESA DR STE 310
FULLERTON, CA 92835-3800
Phone number: 714-734-3120