Individual
DESERIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865
(657) 297-0427
Mailing address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865
(657) 297-0427
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
05/11/2023
Last updated
06/24/2025
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