| Miguel Ortiz Lopez, PA | |
|
Bldg 166, Fort Irwin, CA 92310 | |
| (760) 380-6862 | |
| (760) 380-6831 |
| Full Name | Miguel Ortiz Lopez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | Bldg 166, Fort Irwin, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558327437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 1032764 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miguel Ortiz Lopez, PA 8116 Salerno Dr., A, Fort Irwin, CA 92310 Ph: (760) 447-8497 | Miguel Ortiz Lopez, PA Bldg 166, Fort Irwin, CA 92310 Ph: (760) 380-6862 |
Youngkwang Ko, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Bldg, 390 N Loop Rd, Fort Irwin, CA 92310 Phone: 866-957-9224 | |
Mr. Robert M Medina, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 390 North Loop Road, Fort Irwin, CA 92310 Phone: 760-383-5289 Fax: 760-383-5128 | |
Heesoo Soh, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Bldg 390 N Loop Rd, Fort Irwin, CA 92310 Phone: 714-726-2755 | |
Moira Mccormack, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Weed Army Community Hospital, Bldg 390 N Loop Rd, Fort Irwin, CA 92310 Phone: 866-957-9224 | |
Naikeya Heath Coston, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 390 North Loop Road, Fort Irwin, CA 92310 Phone: 760-383-5370 | |
Daniel Perez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 390 N Loop Rd, Fort Irwin, CA 92310 Phone: 941-538-1295 |