Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC26569 | CA |
Y | 111NR0400X | Rehabilitation Chiropractor | DC26569 | CA |
N | 111NX0100X | Occupational Health | DC26569 | CA |
NPI | 1952518581 |
---|---|
Provider Name | Dr. April A Lopez |
First Address | Orange, CA 92868-2067 |
Second Address | Orange, CA 92868-2067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 18/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
33-0981750 | TAX ID (01) | CA |