Healthcare Provider Details

I. General information

NPI: 1811821267
Provider Name (Legal Business Name): YECENIA LOPEZ CHIROPRACTIC PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25186 HANCOCK AVE STE 100
MURRIETA CA
92562-5998
US

IV. Provider business mailing address

25186 HANCOCK AVE STE 100
MURRIETA CA
92562-5998
US

V. Phone/Fax

Practice location:
  • Phone: 951-461-4617
  • Fax: 951-461-1403
Mailing address:
  • Phone: 951-461-4617
  • Fax: 951-461-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: YECENIA LOPEZ
Title or Position: PRESIDENT
Credential: DC
Phone: 951-461-4617