Individual
GUILLERMO SAUL LOPEZ COTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11015 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670-4601
(562) 906-2676
Mailing address
12070 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3771
(562) 777-7500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
164X00000X
Licensed Vocational Nurse
Primary
718416
CA
Other
Enumeration date
09/22/2022
Last updated
10/28/2024
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