Healthcare Provider Details

I. General information

NPI: 1477499879
Provider Name (Legal Business Name): EDGAR LOPEZ FIGUEROA N/A
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1517 W 223RD ST
TORRANCE CA
90501-4127
US

IV. Provider business mailing address

1517 W 223RD ST
TORRANCE CA
90501-4127
US

V. Phone/Fax

Practice location:
  • Phone: 310-357-0009
  • Fax: 424-271-7482
Mailing address:
  • Phone: 310-357-0009
  • Fax: 424-271-7482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberB8691719
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberB8691719
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: