Individual
ROSA ANGELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
13800 HEACOCK ST STE D111, MORENO VALLEY, CA 92553-3340
(951) 653-1800
(951) 653-1815
Mailing address
13800 HEACOCK ST STE D111, MORENO VALLEY, CA 92553-3340
(951) 653-1800
(951) 653-1815
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC4775
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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