Individual
BRIAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E KAY ST, COMPTON, CA 90221-1752
(323) 242-5000
Mailing address
1500 E KAY ST, COMPTON, CA 90221-1752
(323) 242-5000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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