1012 E COOLEY DR STE B2
COLTON, CA 92324-3959 US PECOS Enrolled
Overview
Frederick Lopez is a Psychologist in the COLTON area. Frederick Lopez primary office location is at 1012 E COOLEY DR STE B2 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1669671699 and the information was updated approximately 1 year ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| PSY32140 | CA |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 00007473 | CA |
| Taxonomy | State | Primary? |
|---|---|---|
| Psychologist - Taxonomy Code 103T00000X | CA | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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