Miguel Ortiz Lopez, PA is a surgical physician assistant in Fort Irwin, CA. Miguel Ortiz Lopez, PA NPI is 1558327437. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
BLDG 166
FORT IRWIN, CA
ZIP 92310
Phone: (760) 380-6862
Fax: (760) 380-6831
The enumeration date for this NPI number is 4/21/2006 and was last updated on 7/8/2007.