Provider Demographics
NPI:1336495076
Name:LOPEZ, FRANK JAVIER
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:JAVIER
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 N. OLIVE AVE.
Mailing Address - Street 2:
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-4620
Mailing Address - Country:US
Mailing Address - Phone:562-424-1869
Mailing Address - Fax:562-683-2686
Practice Address - Street 1:3350 N. OLIVE AVE.
Practice Address - Street 2:
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-4620
Practice Address - Country:US
Practice Address - Phone:562-424-1869
Practice Address - Fax:562-683-2686
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator