Individual
GREGORIO CARDENAS-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2829 WATT AVE STE 200, SACRAMENTO, CA 95821-6245
(916) 922-9868
Mailing address
2829 WATT AVE STE 200, SACRAMENTO, CA 95821-6245
(916) 922-9868
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
05/02/2025
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