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NPI Code Detail

MEDICARE: EMILIA LOPEZ

MEDICARE: EMILIA LOPEZ
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
1225X00000XOccupational Therapist28595CA

General Provider Information

NPI Number : 1700676103
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILIA LOPEZ
Provider Business Mailing Address
First Line : 3526 SUNNY HILLS DR
Second Line :
City : NORCO
State : CA
Zip : 92860-2254
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8282 WHITE OAK AVE STE 107
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-7681
Country : US
Telephone Number : 909-586-0509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2025
Last Update Date : 01/26/2026

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Directions to “ EMILIA LOPEZ ” Practice Location

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