Individual
CARLOS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 W 5TH ST, ONTARIO, CA 91762-1455
(909) 986-6402
Mailing address
950 W D ST, ONTARIO, CA 91762-3026
(909) 986-6402
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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