NPI 1104590470
Raymond Lopez
Practice location
- Address
- 14677 Merrill Ave, Fontana, CA 92335-4219
- Phone
- (951) 643-2340
- Mailing address
- 8950 Magnolia Ave Unit 213, Montclair, CA 91763-1461
Registered specialties
Licensed Psychiatric Technician
Primary
Registry record
- NPI
- 1104590470
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Aug 2021
- Record last updated
- 2 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.