Individual
AILEEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N LA BREA AVE, LOS ANGELES, CA 90036-2016
(310) 677-2761
Mailing address
608 W 79TH ST, LOS ANGELES, CA 90044-6026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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