Individual
AZUCENA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6950 HOLLISTER AVE STE 104, GOLETA, CA 93117-5824
(805) 453-5514
Mailing address
PO BOX 1332, GOLETA, CA 93116-1332
(805) 453-5514
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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