Angel Edgardo Parra Lopez, is a
Student In An Organized Health Care Education/training Program based in Phoenix, Arizona. Angel Edgardo Parra Lopez is licensed to practice in * (Not Available) (license number ) and his current practice location is
19408 N 14th Dr, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at
(602) 403-0451.
NPI number for Angel Edgardo Parra Lopez is 1124970918 and his current mailing address is 19408 N 14th Dr, Phoenix, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124970918.
Provider's Profile
| Full Name | Angel Edgardo Parra Lopez |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 19408 N 14th Dr, Phoenix, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124970918
- Provider Enumeration Date: 02/12/2026
- Last Update Date: 02/12/2026
Medical Identifiers
Medical identifiers for Angel Edgardo Parra Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124970918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Angel Edgardo Parra 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 |
|---|
Angel Edgardo Parra Lopez,
19408 N 14th Dr,
Phoenix, AZ 85027-4605
Ph: () - | Angel Edgardo Parra Lopez,
19408 N 14th Dr,
Phoenix, AZ 85027-4605
Ph: (602) 403-0451 |
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