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Individual

CHRISTOFER AARON LOPEZ REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3210 LONG BEACH BLVD, LONG BEACH, CA 90807-5062
(562) 548-6500
Mailing address
3210 LONG BEACH BLVD, LONG BEACH, CA 90807-5062
(562) 548-6500

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary
225400000X
Rehabilitation Practitioner

Other

Enumeration date
04/12/2016
Last updated
06/21/2024
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