Individual
JULIAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3767 CENTRAL AVE, SAN DIEGO, CA 92105-2506
(619) 584-4010
Mailing address
3767 CENTRAL AVE, SAN DIEGO, CA 92105-2599
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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