Stephanie Lopez

Specialty details in registry · Tijuana, BAJA CALIFORNIA

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At a glance

Ave Jose Portillo #1460 Ste 3A, Tijuana, BAJA CALIFORNIA 22435

NPPES record updated May 21, 2018. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

Ave Jose Portillo #1460 Ste 3A
Tijuana, BAJA CALIFORNIA 22435
Professional details: NPI, taxonomy & registry record
NPI1437640919
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223G0001X
Enumeration date
May 21, 2018
Record updated
May 21, 2018
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

1223G0001X · Primary

License reported: 10214022 ZZ

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

Ave Jose Portillo #1460 Ste 3A
Tijuana, BAJA CALIFORNIA 22435
Phone
(619) 488-3200
Fax
(866) 272-6924
Mailing address
4275 EXECUTIVE SQ STE 200

LA JOLLA, CA 920371476
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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