Individual
CARLOS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2130 E 4TH ST, SANTA ANA, CA 92705-3818
(714) 543-5437
Mailing address
329 E WISTERIA PL, SANTA ANA, CA 92701-5957
(714) 477-3876
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
10
CA
Other
Enumeration date
08/26/2024
Last updated
02/03/2026
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