Dr Andrea Nicole Lopez, DO is a
Student In An Organized Health Care Education/training Program physician based in Loma Linda, California. Dr Andrea Nicole Lopez is licensed to practice in California (license number ) and her current practice location is 11234 Anderson St Bldg Suitec, Loma Linda, California. She can be reached at her office (for appointments etc.) via phone at
(909) 558-9532.
NPI number for Dr Andrea Nicole Lopez is 1104576909 and her current mailing address is 10935 Terra Vista Pkwy Apt 103, Rancho Cucamonga, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104576909.
Physician's Profile
| Full Name | Dr Andrea Nicole Lopez |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 11234 Anderson St Bldg Suitec, Loma Linda, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104576909
- Provider Enumeration Date: 03/24/2022
- Last Update Date: 05/05/2025
Medical Identifiers
Medical identifiers for Dr Andrea Nicole Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104576909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 20A22120 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Andrea Nicole Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Andrea Nicole Lopez, DO
10935 Terra Vista Pkwy Apt 103,
Rancho Cucamonga, CA 91730-6350
Ph: (909) 377-9291 | Dr Andrea Nicole Lopez, DO
11234 Anderson St Bldg Suitec,
Loma Linda, CA 92350-1716
Ph: (909) 558-9532 |
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