Healthcare Provider Details

I. General information

NPI: 1699611830
Provider Name (Legal Business Name): GIOVANNA LIZBETH LOPEZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14671 RINALDI ST
SAN FERNANDO CA
91340-4199
US

IV. Provider business mailing address

12837 N WATT LN UNIT F
SYLMAR CA
91342-5842
US

V. Phone/Fax

Practice location:
  • Phone: 818-270-9030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95037759
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: