Healthcare Provider Details

I. General information

NPI: 1821900705
Provider Name (Legal Business Name): EMERITO ENRIQUE LOPEZ RODRIGUEZ PPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 E COURT AVE
PIXLEY CA
93256-9750
US

IV. Provider business mailing address

536 S BAY OAK ST
PORTERVILLE CA
93257-7892
US

V. Phone/Fax

Practice location:
  • Phone: 559-757-3018
  • Fax:
Mailing address:
  • Phone: 559-920-6774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: