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NPI Code Detail

MEDICARE: DR. DANIEL ADAM LOPEZ MD

MEDICARE: DR. DANIEL ADAM LOPEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianPTL19017CA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1285425041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL ADAM LOPEZ MD
Provider Business Mailing Address
First Line : 400 W MINERAL KING AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-6237
Country : US
Telephone Number : 559-624-2000
Fax Number :
Provider Business Practice Location Address
First Line : 400 W MINERAL KING AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-6237
Country : US
Telephone Number : 559-624-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2025
Last Update Date : 06/18/2026

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