MEDICARE: DR. RACHAEL LYNNE 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
1	207V00000X	Obstetrics & Gynecology Physician	A61814	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639174899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHAEL LYNNE LOPEZ MD

Provider Business Mailing Address
First Line	:	24401 HEALTH CENTER DR.
Second Line	:	SUITE 300
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-0000
Country	:	US
Telephone Number	:	949-770-4115
Fax Number	:	949-770-3422

Provider Business Practice Location Address
First Line	:	24401 HEALTH CENTER DR.
Second Line	:	SUITE 300
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-0000
Country	:	US
Telephone Number	:	949-770-4115
Fax Number	:	949-770-3422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	11/11/2024

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