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Individual

ADRIAN LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2100 N BROADWAY STE 101, SANTA ANA, CA 92706-2624
(714) 245-6881
Mailing address
502 S BRODER ST # A, ANAHEIM, CA 92804-2096
(714) 210-9799

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
B00002691122
CA

Other

Enumeration date
10/09/2024
Last updated
06/18/2025
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