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Individual

ISSAI LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3845 SPRING DR STE 18, SPRING VALLEY, CA 91977-1030
(619) 433-5839
Mailing address
8787 COMPLEX DR STE 300, SAN DIEGO, CA 92123-1453
(619) 797-1090

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
372600000X
Adult Companion
Primary

Other

Enumeration date
10/16/2023
Last updated
04/18/2025
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