Healthcare Provider Details

I. General information

NPI: 1982971669
Provider Name (Legal Business Name): ADRIANA LOPEZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2011
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3380 LA SIERRA AVE SUITE 108
RIVERSIDE CA
92503-5271
US

IV. Provider business mailing address

27236 OLD MINER CIR
MENIFEE CA
92585-1302
US

V. Phone/Fax

Practice location:
  • Phone: 951-354-9999
  • Fax:
Mailing address:
  • Phone: 951-355-3672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number112710
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: