Individual
DIEGO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
1016 S RECORD AVE, LOS ANGELES, CA 90023-2533
(323) 268-0106
Mailing address
691 E HOWARD ST, PASADENA, CA 91104-2348
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19582
CA
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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