Healthcare Provider Details

I. General information

NPI: 1538076286
Provider Name (Legal Business Name): BRIANNA JAZLYNN LOPEZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2037 VERDUGO BLVD
MONTROSE CA
91020-1626
US

IV. Provider business mailing address

1050 W ALAMEDA AVE # 482
BURBANK CA
91506-2846
US

V. Phone/Fax

Practice location:
  • Phone: 818-248-8018
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92829
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: