Individual
ALFREDO J LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44233 CAROLSIDE AVE, LANCASTER, CA 93535-3530
(818) 447-1237
Mailing address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
05/11/2023
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