Provider Demographics
NPI:1174056410
Name:LAPONZA, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:LAPONZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23447 MOUNTAIN BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5034
Mailing Address - Country:US
Mailing Address - Phone:951-760-2641
Mailing Address - Fax:
Practice Address - Street 1:23447 MOUNTAIN BREEZE DR
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5034
Practice Address - Country:US
Practice Address - Phone:951-760-2641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49549183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist